Individual provider Active NPI

Sal L Sarmiento, MD

  • Psychiatry Physician
  • Brentwood, NY
National Provider Identifier
1104925890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
151241 Issued in NY
Practice address
1841 Brentwood Rd
Brentwood, NY 11717-4625
Phone
(631) 853-7300
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 151241 NY Primary

Addresses

Primary practice location

1841 Brentwood Rd
Brentwood, NY 11717-4625

Mailing address

49 Timber Ridge Dr
Commack, NY 11725-1739
Phone (631) 269-9351

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
I20040701000525 NY Practitioner - Psychiatry 5395722052 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151241NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Dec 28, 2016 Accepting new patients
County of Suffolk Current Accepting new patients
Suffolk County Department of Health Services CurrentSince Nov 1, 2015 Accepting new patients
The Marsh Group Counseling Services, LLC PastSince Jul 22, 2015 Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

15 Horseblock Pl
Farmingville, NY 11738
Phone (631) 854-2552

3500 Sunrise Hwy
Ste 124
Great River, NY 11739
Phone (631) 854-0000

300 Center Dr
Riverhead, NY 11901
Phone (631) 852-1440

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

Organizations & group practices 4

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104925890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 TIMBER RIDGE DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251739",
            "telephone_number": "631-269-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174625",
            "telephone_number": "631-853-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "SAL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "151241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

Verify at the official NPI Registry.