Active NPI
Karla Sabillon
- Case Management Agency
- Brentwood, NY
National Provider Identifier
1174692214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 171MOOOOOX
- Practice address
- 1841 Brentwood Rd
Brentwood, NY 11717-4625 - Phone
- (631) 853-2762
- Fax
- (631) 853-2779
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 171MOOOOOX | NY | Primary |
Addresses
Primary practice location
1841 Brentwood Rd
Brentwood, NY 11717-4625
Mailing address
1841 Brentwood Rd
Brentwood, NY 11717-4625
Phone (631) 853-2762
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171MOOOOOX | NY | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174692214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 BRENTWOOD RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174625",
"telephone_number": "631-853-2762",
"fax_number": "631-853-2779"
},
{
"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": "631-853-2762",
"fax_number": "631-853-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABILLON",
"first_name": "KARLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NY",
"license": "171MOOOOOX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.