NPIMap

Organization Active NPI

Saitta Dermatology PC

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1083233324
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SAITTA DERMATOLOGY PC
Practice address
7901 4TH Ave Ste A20
Brooklyn, NY 11209-3957
Phone
(718) 491-5800
Fax
(718) 748-2151
NPI assigned
Apr 15, 2020
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Peter Saitta, DONPI 1750525341
Title
Owner
Phone
(718) 491-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

7901 4TH Ave Ste A20
Brooklyn, NY 11209-3957

Mailing address

7901 4TH Ave Ste A20
Brooklyn, NY 11209-3957
Phone (718) 491-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200624001152 NY Part B Supplier - Clinic/Group Practice 1456773225 Receives reassigned benefits from 12 practitioners
Practice locations: Brooklyn, NY; Forest Hills, NY; New York, NY; Woodside, NY

National Provider Directory

National Provider Directory

Locations

76 7th Ave
Brooklyn, NY 11217
Phone (718) 238-0500

7901 4th Ave
Ste A20
Brooklyn, NY 11209
Phone (718) 491-6900

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1083233324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH AVE STE A20",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093957",
            "telephone_number": "718-491-5800",
            "fax_number": "718-748-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH AVE STE A20",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093957",
            "telephone_number": "718-491-5800",
            "fax_number": "718-748-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAITTA DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "SAITTA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-491-5800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.