Active NPI
Sara Michiko Tanaka Carroll, M.D.
- Cardiovascular Disease Physician
- Yonkers, NY
National Provider Identifier
1215269238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 282525
- Practice address
- 1010 N Broadway
Yonkers, NY 10701-1330 - Phone
- (914) 968-3535
- NPI assigned
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 282525 | NY | Primary |
Addresses
Primary practice location
1010 N Broadway
Yonkers, NY 10701-1330
Mailing address
1010 N Broadway
Yonkers, NY 10701-1330
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282525 | NY | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1215269238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011330",
"telephone_number": "914-968-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "SARA",
"middle_name": "MICHIKO TANAKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "282525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.