Saclolo Wellness Institute

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

199682 Issued in NY

Legal business name

SACLOLO WELLNESS INSTITUTE

Practice address

20 W 86TH St Ste 1a
New York, NY 10024-3604

Phone

(212) 490-3800

Fax

(212) 490-5567

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kamin Soogrim

Title

Office Manager

Phone

(212) 477-3544

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rod Saclolo, M.D

  • Internal Medicine Physician
  • New York, NY
  • NPI 1396809091
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023212164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 86TH ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243604",
            "telephone_number": "212-490-3800",
            "fax_number": "212-490-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 86TH ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243604",
            "telephone_number": "212-490-3800",
            "fax_number": "212-490-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACLOLO WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOOGRIM",
        "authorized_official_first_name": "KAMIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-477-3544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01761628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Sacks, D.D.S.
• Michael Sacks, MD
• Richard J Sacks, PSYCHOANALYST
• Stephanie Robin Sacks, LCSW
• Steven H Sacks, M.D.
• Rod Saclolo, M.D
• Hernan Daniel Sacoto, MD
• Anthony Sacramento
• Ann Marie Sacramone, MSED LP
• Elizabeth Ann Sacre, ED.D., LP

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.