Individual provider Active NPI

Angelica Yap Sarenas, PT

  • Pediatric Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1124245097
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
40QA01156800 Issued in NJ
Practice address
175 Remsen St
Suite 1103
Brooklyn, NY 11201-4300
Phone
(718) 327-4400
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 40QA01156800 NJ Primary

Addresses

Primary practice location

175 Remsen St
Suite 1103
Brooklyn, NY 11201-4300

Mailing address

175 Remsen St
Suite 1103
Brooklyn, NY 11201-4300
Phone (718) 327-4400

Other identifiers 1

IdentifierTypeStateIssuer
08123OtherGHI MEDICARE

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

State licenses

LicenseStateTypeSpecialty
024997NYMDClinical Psychologist
40QA01156800NJMDPediatric Skilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Mak Medical PC Past Accepting new patients
A.K. Podiatrist D.P.M. P.C. Past Accepting new patients
Ocean Group Medical, P.C. Past Accepting new patients
Angelic Physical Therapy P.C. Past Accepting new patients

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1124245097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 REMSEN ST",
            "address_2": "SUITE 1103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014300",
            "telephone_number": "718-327-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 REMSEN ST",
            "address_2": "SUITE 1103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014300",
            "telephone_number": "718-327-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARENAS",
        "first_name": "ANGELICA",
        "middle_name": "YAP",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NJ",
            "license": "40QA01156800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "08123",
            "state": null
        }
    ],
    "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 Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.