Individual provider Active NPI

Sapna Rao Palep, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1104084334
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
246838-1 Issued in NY
Practice address
75 Spring St FL 2
New York, NY 10012-4098
Phone
(212) 431-4749
Fax
(917) 210-4316
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 246838-1 NY Primary

Addresses

Primary practice location

75 Spring St FL 2
New York, NY 10012-4098

Mailing address

75 Spring St FL 2
New York, NY 10012-4098
Phone (212) 431-4749

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
I20180817001222 NY Practitioner - Dermatology 3274882659 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246838-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Street Dermatology, PLLC Dermatology CurrentSince Apr 25, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 27, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Dermatology CurrentSince Jun 27, 2018 Accepting new patients
Associates in Dermatology and Cosmetic Surgery-the Millburn Laser Cent Dermatology PastSince Dec 13, 2020 Accepting new patients

Locations

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

75 Spring St
Fl 2
New York, NY 10012
Phone (212) 431-4749

4 W 58th St
Fl 13
New York, NY 10019
Phone (212) 431-4749

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1104084334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SPRING ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124098",
            "telephone_number": "212-431-4749",
            "fax_number": "917-210-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPRING ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124098",
            "telephone_number": "212-431-4749",
            "fax_number": "917-210-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEP",
        "first_name": "SAPNA",
        "middle_name": "RAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "246838-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.