Individual provider Active NPI

Deborah Saunders, MD

  • Pediatrics Physician
  • Mineola, NY
National Provider Identifier
1184700395
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
139473 Issued in NY
Practice address
77 Jericho Turnpike
Suite 175
Mineola, NY 11501-2984
Phone
(516) 216-5910
Fax
(516) 216-5907
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 139473 NY Primary

Addresses

Primary practice location

77 Jericho Turnpike
Suite 175
Mineola, NY 11501-2984

Mailing address

77 Jericho Turnpike
Suite 175
Mineola, NY 11501-2984
Phone (516) 216-5910

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

LicenseStateTypeSpecialty
139473NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Happy & Healthy Pediatrics PC Past Accepting new patients
Icahn School of Medicine at Mount Sinai Pediatrics Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1184700395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 JERICHO TURNPIKE",
            "address_2": "SUITE 175",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012984",
            "telephone_number": "516-216-5910",
            "fax_number": "516-216-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 JERICHO TURNPIKE",
            "address_2": "SUITE 175",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012984",
            "telephone_number": "516-216-5910",
            "fax_number": "516-216-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "DEBORAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "139473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.