Individual provider Active NPI

Susan Sachs

  • Specialist
  • West Hempstead, NY
National Provider Identifier
1033740709
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
321 June PL
West Hempstead, NY 11552-2812
Phone
(917) 302-6479
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

321 June PL
West Hempstead, NY 11552-2812

Mailing address

351 Marine Ave Apt C17
Brooklyn, NY 11209-8039
Phone (212) 810-7578

Other practice location 1

351 Marine Ave Apt C17
Brooklyn, NY 11209-8039
Phone (212) 810-7578

Other practice location 2

351 Marine Ave Apt C17
Brooklyn, NY 11209-8039
Phone (212) 810-7578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Char Champion Therapy PastSince Feb 2, 2020 Accepting new patients

Organizations & group practices 1

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033740709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MARINE AVE APT C17",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098039",
            "telephone_number": "212-810-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 JUNE PL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522812",
            "telephone_number": "917-302-6479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Marine Ave Apt C17",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112098039",
            "country_code": "US",
            "telephone_number": "212-810-7578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Marine Ave Apt C17",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112098039",
            "country_code": "US",
            "telephone_number": "212-810-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACHS",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.