Individual provider Active NPI

Rita Iluminada Sanchez, MD.

  • Anesthesiology Physician
  • East Williston, NY
National Provider Identifier
1063569739
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
233996-1 Issued in NY
Practice address
3 Meritoria Dr
East Williston, NY 11596-2037
Phone
(516) 508-1351
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 233996-1 NY
Anesthesiology Physician 207L00000X 233996-1 NY Primary

Addresses

Primary practice location

3 Meritoria Dr
East Williston, NY 11596-2037

Mailing address

3 Meritoria Dr
East Williston, NY 11596-2037
Phone (516) 508-1351

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
I20050215000300 NY Practitioner - Anesthesiology 5496707754 Reassigns benefits to 2 organizations
Practice locations: East Williston, NY; Little Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Meritoria Dr
East Williston, NY 11596-2037
Phone (516) 508-1351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233996NYMDAnesthesiology Physician
233996-1NYMDAmbulatory Surgical Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Alliance Medical Associates, P.C. CurrentSince Jun 1, 2022 Accepting new patients
Kips Bay Endoscopy Center, LLC Ambulatory Surgical CurrentSince Oct 25, 2021 Accepting new patients
Medical Anesthesiology PC Anesthesiology PastSince Apr 23, 2023 Accepting new patients
Metropolitan Medical & Surgical P.C. Past Accepting new patients
Anesthesia Patient Services, PLLC Anesthesiology Past Accepting new patients

Locations

250 Park Ave S
Fl 8
New York, NY 10003
Phone (212) 979-3237

535 2nd Ave
New York, NY 10016
Phone (212) 447-1609

Organizations & group practices 5

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1063569739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MERITORIA DR",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115962037",
            "telephone_number": "516-508-1351",
            "fax_number": "516-307-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MERITORIA DR",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115962037",
            "telephone_number": "516-508-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "RITA",
        "middle_name": "ILUMINADA",
        "name_prefix": "Ms.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "233996-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "233996-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Williston, NY

Sources for this page

Verify at the official NPI Registry.