Individual provider Active NPI

Roxana Teodora Sacarin, MD

  • Anesthesiology Physician
  • West Islip, NY
National Provider Identifier
1164407227
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
215595 Issued in NY
Practice address
1000 Montauk Hwy
Good Samaritan Hospital
West Islip, NY 11795-4927
Phone
(833) 547-7463
NPI assigned
Dec 13, 2005
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 215595 NY Primary

Addresses

Primary practice location

1000 Montauk Hwy
Good Samaritan Hospital
West Islip, NY 11795-4927

Mailing address

100 Motor Parkway
Suite LL8
Hauppauge, NY 11788
Phone (833) 547-7463

Other practice location 1

66 Commack Rd Ste 103
Commack, NY 11725-3405
Phone (833) 547-7463

Other identifiers 1

IdentifierTypeStateIssuer
02103299MedicaidNY

Other names 1

  • Roxana Teodora Gheorghiv Former name

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
I20031106000166 NY Practitioner - Anesthesiology 0042123184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sagtikos Medical Services PCGroup PAC ID 8426453788, 2 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 310-5071

66 Commack Rd
Suite 103
Commack, NY 11725-3405
Phone (631) 310-5071

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215595NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Anesthesiologists, PLLC Anesthesiology CurrentSince Jul 1, 1998 Accepting new patients
Long Island Neurosurgical & Pain Specialists, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Montauk Medical Associates PLLC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Long Island Neurosurgical & Pain Specialists, PLLC CurrentSince Feb 1, 2022 Accepting new patients
Sagtikos Medical Services PC CurrentSince Aug 1, 2021 Accepting new patients

Locations

340 Howells Rd
Bay Shore, NY 11706
Phone 8335477463716

66 Commack Rd
Ste 103
Commack, NY 11725
Phone (631) 659-1620

66 Commack Rd
Commack, NY 11725
Phone (631) 486-5286

100 Motor Pkwy
Ste LL8
Hauppauge, NY 11788

4681 Veterans Memorial Hwy
Holbrook, NY 11741
Phone (631) 482-9977

3 Boyle Rd
Selden, NY 11784
Phone (631) 716-6000

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

1175 Montauk Hwy
Ste 6
West Islip, NY 11795
Phone (631) 422-5371

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1164407227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOTOR PARKWAY",
            "address_2": "SUITE LL8",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "address_2": "GOOD SAMARITAN HOSPITAL",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "833-547-7463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Commack Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253405",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACARIN",
        "first_name": "ROXANA",
        "middle_name": "TEODORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "215595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02103299",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANA",
            "last_name": "GHEORGHIV",
            "middle_name": "TEODORA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.