Individual provider Active NPI

Nicole Sasson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1225090806
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
183962 Issued in NY
Practice address
6 East 45TH Street
#1205
New York, NY 10017-2439
Phone
(212) 995-8728
Fax
(212) 995-8728
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 183962 NY Primary
Spinal Cord Injury Medicine Physician 2081P0004X 183962 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 183962 NY

Addresses

Primary practice location

6 East 45TH Street
#1205
New York, NY 10017-2439

Mailing address

19 Stuyvesant Oval
5E
New York, NY 10009-2020
Phone (212) 472-6841

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
I20080902000336 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain ManagementPractitioner - Other (Physician) 5395811103 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
State University of New York at Buffalo School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Stuyvesant Oval
New York, NY 10009-2024
Phone (212) 995-8728

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183962NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1225090806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 STUYVESANT OVAL",
            "address_2": "5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092020",
            "telephone_number": "212-472-6841",
            "fax_number": "212-995-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EAST 45TH STREET",
            "address_2": "#1205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172439",
            "telephone_number": "212-995-8728",
            "fax_number": "212-995-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSON",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "183962",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NY",
            "license": "183962",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "183962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.