Active NPI
Robert J Sacks, DO
- Family Medicine Physician
- Nokomis, FL
National Provider Identifier
1083652960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MB035060
- Practice address
- 5648 Semolino St
Nokomis, FL 34275 - Phone
- (856) 296-8362
- Fax
- (856) 985-7645
- NPI assigned
- Jun 3, 2006
- Last updated
- May 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB035060 | NJ | Primary |
Addresses
Primary practice location
5648 Semolino St
Nokomis, FL 34275
Mailing address
5648 Semolino St
Nokomis, FL 34275
Phone (856) 296-8362
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB035060 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1083652960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5648 SEMOLINO ST",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "34275",
"telephone_number": "856-296-8362",
"fax_number": "856-985-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5648 SEMOLINO ST",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "34275",
"telephone_number": "856-296-8362",
"fax_number": "856-985-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKS",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MB035060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nokomis, FL
- Christina Lynn Roberts, RMCHI
- Tonishia Latoya Rodriguez
- Rooted Acupuncture and Wellness
- Matthew Dennis Sabo, MS, BCBA
- Deborah Meles Sacks, PH.D.
- Katelynn Sak
- Teresa Santos, APRN
- Sarasota Orthopedic Associates LLC (360 Orthopedics)
- Sarasota Pediatric Physical Therapy, Inc
- Sarasota Wellness Group Inc. (Affinity Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.