Active NPI
Alan Jeffery Sackin, MD
- Pulmonary Disease Physician
- Tamarac, FL
National Provider Identifier
1215988688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME36330
- Practice address
- 7421 N University Dr
#210
Tamarac, FL 33321-2977 - Phone
- (954) 720-5600
- NPI assigned
- May 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME36330 | FL | Primary |
Addresses
Primary practice location
7421 N University Dr
#210
Tamarac, FL 33321-2977
Mailing address
7421 N University Dr
#210
Tamarac, FL 33321-2977
Phone (954) 720-5600
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan J Sackin M.D.,P.a. | Current | Accepting new patients | |
| Alan J Sackin,M.D.,P.a. | Pulmonary Disease | Past | Accepting new patients |
Locations
7421 N University Dr
Ste 210
Tamarac, FL 33321
Phone (954) 476-9180
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Tamarac, FL
- NPI 1649521428
-
- Pulmonary Disease Physician
- Tamarac, FL
- NPI 1356645329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1215988688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 N UNIVERSITY DR",
"address_2": "#210",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212977",
"telephone_number": "954-720-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7421 N UNIVERSITY DR",
"address_2": "#210",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212977",
"telephone_number": "954-720-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKIN",
"first_name": "ALAN",
"middle_name": "JEFFERY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME36330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.