Individual provider Active NPI

Benjamin A Sahn, M.D.

  • Pediatric Gastroenterology Physician
  • New Hyde Park, NY
National Provider Identifier
1235395872
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
274258 Issued in NY
Practice address
1991 Marcus Ave Ste M100
New Hyde Park, NY 11042-2062
Phone
(516) 472-3650
Fax
(516) 472-3654
NPI assigned
Aug 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MT192372 PA
Pediatric Gastroenterology Physician 2080P0206X 274258 NY Primary

Addresses

Primary practice location

1991 Marcus Ave Ste M100
New Hyde Park, NY 11042-2062

Mailing address

1991 Marcus Ave Ste M100
New Hyde Park, NY 11042-2062
Phone (516) 472-3650

Other practice location 1

34th & Civic Center Blvd
Children's Hospital of Philadelphia
Philadelphia, PA 19104-4399
Phone (215) 590-1000

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
I20140717000014 NY Practitioner - GastroenterologyPractitioner - Pediatric Medicine 6204052822 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT192372PAMDPediatrics Physician
274258NYMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2014 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

500 W Main St
Ste 204
Babylon, NY 11702
Phone (631) 376-0700

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1991 Marcus Ave
Ste M100
New Hyde Park, NY 11042
Phone (516) 472-3650

410 Lakeville Rd
Ste 305
New Hyde Park, NY 11042
Phone (516) 437-4300

1991 Marcus Ave
Ste 102
North New Hyde Park, NY 11042
Phone (516) 497-7900

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: benjaminsahn@nslijmedgr.allscriptsdirect.net

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235395872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE STE M100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422062",
            "telephone_number": "516-472-3650",
            "fax_number": "516-472-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE STE M100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422062",
            "telephone_number": "516-472-3650",
            "fax_number": "516-472-3654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34th & Civic Center Blvd",
            "address_2": "Children's Hospital of Philadelphia",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044399",
            "country_code": "US",
            "telephone_number": "215-590-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHN",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT192372",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "274258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.