Active NPI
Harry Jack Sacks, MD
- Pediatrics Physician
- Doylestown, PA
National Provider Identifier
1124310834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD040172E
- Practice address
- 3186 Aquetong Rd
Doylestown, PA 18902-9404 - Phone
- (732) 648-9459
- NPI assigned
- May 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA07839600 | NJ | |
| Pain Medicine Physician | 208VP0000X | 25MA07839600 | NJ | |
| Pediatrics Physician | 208000000X | MD040172E | PA | Primary |
Addresses
Primary practice location
3186 Aquetong Rd
Doylestown, PA 18902-9404
Mailing address
3186 Aquetong Rd
Doylestown, PA 18902-9404
Phone (732) 648-9459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD040172E | Other | PA | PA BOARD OF MEDICAL EXAMINERS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040172E | PA | MD | Pediatrics Physician |
| 25MA07839600 | NJ | MD | Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1124310834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3186 AQUETONG RD",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189029404",
"telephone_number": "732-648-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3186 AQUETONG RD",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189029404",
"telephone_number": "732-648-9459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKS",
"first_name": "HARRY",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-12",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07839600",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NJ",
"license": "25MA07839600",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD040172E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BOARD OF MEDICAL EXAMINERS",
"identifier": "MD040172E",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.