Individual provider Active NPI

Arkadiy Sabzanov, M.D.

  • Anesthesiology Physician
  • Astoria, NY
National Provider Identifier
1023014081
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
212814 Issued in NY
Practice address
4604 31St Ave
Astoria, NY 11103-1842
Phone
(718) 545-5050
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 212814 NY Primary

Addresses

Primary practice location

4604 31St Ave
Astoria, NY 11103-1842

Mailing address

450 Mamaroneck Ave Ste 201
Harrison, NY 10528-2436
Phone (877) 476-6642

Other identifiers 1

IdentifierTypeStateIssuer
01953548MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000977 NY Practitioner - Anesthesiology 6002856317 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Sedation Anesthesia PCGroup PAC ID 2163817503, 2 clinicians

Practice addresses (Care Compare)

6240 Woodhaven Blvd
Suite P17
Rego Park, NY 11374-3702
Phone (718) 675-9219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
212814NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Cryo Medical P.C Anesthesiology CurrentSince Mar 11, 2021 Accepting new patients
Pain Sedation Anesthesia PC Anesthesiology CurrentSince Sep 16, 2023 Accepting new patients
Queens Boulevard ASC LLC CurrentSince Nov 3, 2020 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Aug 28, 2000 Accepting new patients
New York Surgery Center Queens, LLC CurrentSince Dec 21, 2022 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Mar 1, 2021 Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Mar 11, 2021 Accepting new patients
Lynbrook Anesthesia Services, PC Anesthesiology CurrentSince Jun 20, 2019 Accepting new patients

Locations

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

1301 Avenue J
Brooklyn, NY 11230
Phone (718) 645-0600

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

290 Central Ave
Ste 107
Lawrence, NY 11559
Phone (516) 239-8877

4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

300 Community Dr
Plandome, NY 11030

6240 Woodhaven Blvd
Ste P17
Rego Park, NY 11374
Phone (718) 200-8846

9525 Queens Blvd
Frnt 3
Rego Park, NY 11374
Phone (718) 406-8000

320 Montauk Hwy
West Islip, NY 11795
Phone (360) 514-9060

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1023014081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 201",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282436",
            "telephone_number": "877-476-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031842",
            "telephone_number": "718-545-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABZANOV",
        "first_name": "ARKADIY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "212814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01953548",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.