Individual provider Active NPI

Vishal Saggar, M.D.

  • Dermatology Physician
  • Jericho, NY
National Provider Identifier
1225419047
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
299135 Issued in NY
Practice address
400 N Broadway
Jericho, NY 11753-2113
Phone
(516) 992-6350
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 299135 NY Primary

Addresses

Primary practice location

400 N Broadway
Jericho, NY 11753-2113

Mailing address

400 N Broadway
Jericho, NY 11753-2113

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
I20191007000983 NY Practitioner - Dermatology 9234476177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cloudlake Dermatology, PLLCGroup PAC ID 3274891999, 2 clinicians

Practice addresses (Care Compare)

250 Fulton St
Farmingdale, NY 11735-2512
Phone (516) 930-5333

400 N Broadway
Jericho, NY 11753-2113
Phone (516) 992-6350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions634
Skin biopsy108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299135NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cloudlake Dermatology PLLC Dermatology CurrentSince Aug 10, 2019 Accepting new patients
VS Dermatology PLLC Dermatology CurrentSince Apr 15, 2024 Accepting new patients

Locations

250 Fulton St
Farmingdale, NY 11735
Phone (516) 930-5333

400 N Broadway
Jericho, NY 11753
Phone (516) 827-9446

Interoperability endpoints

  • Direct secure messaging: vsaggar@cloudlake.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1225419047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532113",
            "telephone_number": "516-992-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGGAR",
        "first_name": "VISHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "299135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.