Individual provider Active NPI

Sara Malka Petrushka, MS, CGC

  • Genetic Counselor (M.S.)
  • Hawthorne, NY
National Provider Identifier
1063096865
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
17292 Issued in NY
Practice address
19 Bradhurst Ave Ste 2850
Hawthorne, NY 10532-2183
Phone
(914) 304-5280
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 17292 NY Primary

Addresses

Primary practice location

19 Bradhurst Ave Ste 2850
Hawthorne, NY 10532-2183

Mailing address

19 Bradhurst Ave Ste 2850
Hawthorne, NY 10532-2183

Other names 1

  • Sara Malka Cohen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sara.petrushka@bchphysicians.org

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
17292NYMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1063096865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 2850",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 2850",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322183",
            "telephone_number": "914-304-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUSHKA",
        "first_name": "SARA",
        "middle_name": "MALKA",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NY",
            "license": "17292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.petrushka@bchphysicians.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "19 Bradhurst Ave Ste 2850",
            "city": "Hawthorne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105322183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "COHEN",
            "middle_name": "MALKA",
            "credential": "MS, CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.