Active NPI
Sidney Alexander Obas, RPA-C
- Physician Assistant
- Garden City, NY
National Provider Identifier
1124101944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009934
- Practice address
- 975 Stewart Ave
Garden City, NY 11530-4816 - Phone
- (516) 267-6840
- Fax
- (516) 267-6842
- NPI assigned
- Oct 23, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009934 | NY | Primary |
Addresses
Primary practice location
975 Stewart Ave
Garden City, NY 11530-4816
Mailing address
166 Brown Avenue
Hempstead, NY 11550
Phone (516) 485-0196
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009934 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St John'S Medical Services PC | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Physician Assistant | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Past | Accepting new patients | |
| Episcopal Health Services Inc | Past | Accepting new patients | |
| Pulmonary & Critical Care Consultants, P.C. | Past | Accepting new patients |
Locations
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
1909 Plainview Ave
Far Rockaway, NY 11691
Phone (718) 869-7690
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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
- Far Rockaway, NY
- NPI 1023042173
-
- Internal Medicine Physician
- Oceanside, NY
- NPI 1508127531
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1124184544
-
- Specialist
- Bethpage, NY
- NPI 1881799153
-
- Psychiatry Physician
- Hempstead, NY
- NPI 1508333956
-
- Community/Retail Pharmacy
- Far Rockaway, NY
- NPI 1689151201
-
- Pulmonary Disease Physician
- Lynbrook, NY
- NPI 1376527812
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124101944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 BROWN AVENUE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "11550",
"telephone_number": "516-485-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 STEWART AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304816",
"telephone_number": "516-267-6840",
"fax_number": "516-267-6842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBAS",
"first_name": "SIDNEY",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.