Active NPI
Alan P Sitron, M.D.
- Gynecology Physician
- Bethpage, NY
National Provider Identifier
1063431922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 112468-4
- Practice address
- 4277 Hempstead Tpke
Suite 200
Bethpage, NY 11714-5709 - Phone
- (516) 796-4340
- Fax
- (516) 579-4163
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 112468-4 | NY | |
| Nuclear Cardiology Physician | 207UN0901X | 112468-4 | NY | |
| Nuclear Imaging & Therapy Physician | 207UN0902X | 112468-4 | NY | |
| Gynecology Physician | 207VG0400X | 112468-4 | NY | Primary |
| Body Imaging Physician | 2085B0100X | 112468-4 | NY | |
| Neuroradiology Physician | 2085N0700X | 112468-4 | NY | |
| Nuclear Radiology Physician | 2085N0904X | 112468-4 | NY | |
| Pediatric Radiology Physician | 2085P0229X | 112468-4 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 112468-4 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 112468-4 | NY | |
| Radiological Physics Physician | 2085R0205X | 112468-4 | NY | |
| Diagnostic Ultrasound Physician | 2085U0001X | 112468-4 | NY |
Addresses
Primary practice location
4277 Hempstead Tpke
Suite 200
Bethpage, NY 11714-5709
Mailing address
4277 Hempstead Tpke
Suite 200
Bethpage, NY 11714-5709
Phone (516) 796-4340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00859036 | Medicaid | NY |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112468 | NY | MD | Social Worker |
| 112468-4 | NY | MD | Neuroradiology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Ultrasound Physician
- Bethpage, NY
- NPI 1295743029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1063431922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4277 HEMPSTEAD TPKE",
"address_2": "SUITE 200",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145709",
"telephone_number": "516-796-4340",
"fax_number": "516-579-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4277 HEMPSTEAD TPKE",
"address_2": "SUITE 200",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145709",
"telephone_number": "516-796-4340",
"fax_number": "516-579-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITRON",
"first_name": "ALAN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "112468-4",
"primary": true
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "NY",
"license": "112468-4",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NY",
"license": "112468-4",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00859036",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.