Active NPI
Lorraine Ashley Sanassi, RPA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1073701264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 011973
- Practice address
- 589 3Rd Ave
New York, NY 10016-2711 - Phone
- (212) 530-2288
- Fax
- (212) 867-4353
- NPI assigned
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 011973 | NY | Primary |
Addresses
Primary practice location
589 3Rd Ave
New York, NY 10016-2711
Mailing address
129 W 29TH St FL 10
New York, NY 10001-5105
Phone (415) 658-6791
Other practice location 1
374 Stockholm St
C/O Faculty Practice Management-Ste I37North
Brooklyn, NY 11237-4006
Phone (914) 654-6543 ext. 133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011973 | Other | NY | LICENSE |
| 03024022 | 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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011973 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine | Past | 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.
-
- Internal Medicine Physician
- Manhasset, NY
- NPI 1144659749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1073701264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 W 29TH ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015105",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162711",
"telephone_number": "212-530-2288",
"fax_number": "212-867-4353"
}
],
"practiceLocations": [
{
"address_1": "374 Stockholm St",
"address_2": "C/O FACULTY PRACTICE MANAGEMENT-STE I37NORTH",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112374006",
"country_code": "US",
"telephone_number": "914-654-6543 x133",
"fax_number": "914-654-0454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANASSI",
"first_name": "LORRAINE",
"middle_name": "ASHLEY",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "011973",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03024022",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.