Active NPI
Sanatkumar S Dagli MD PC
- Pediatrics Physician
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 122116
- Legal business name
- SANATKUMAR S DAGLI MD PC
- Practice address
- 944 North Broadway
Suite 108
Yonkers, NY 10701 - Phone
- (914) 476-1322
- Fax
- (914) 476-1346
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanatkumar Shantilar Dagli, MD
- Title
- President
- Phone
- (914) 426-1522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 122116 | NY | Primary |
Addresses
Primary practice location
944 North Broadway
Suite 108
Yonkers, NY 10701
Mailing address
944 North Broadway
Suite 108
Yonkers, NY 10701
Phone (914) 476-1322
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056569 | Other | GHI | |
| A0694 | Other | NY | HEALTHNET |
| 00229616 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2327989 | Sanatkumar Dagli PC | Certificate of waiver | Aug 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
944 N Broadway
Ste 108
Yonkers, NY 10701
Phone (914) 476-1322
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Yonkers, NY
- NPI 1518231075
-
- Family Medicine Physician
- Yonkers, NY
- NPI 1093842189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1245303692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 NORTH BROADWAY",
"address_2": "SUITE 108",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "914-476-1322",
"fax_number": "914-476-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 NORTH BROADWAY",
"address_2": "SUITE 108",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "914-476-1322",
"fax_number": "914-476-1346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANATKUMAR S DAGLI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "DAGLI",
"authorized_official_first_name": "SANATKUMAR",
"authorized_official_middle_name": "SHANTILAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-426-1522",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "122116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0056569",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "A0694",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00229616",
"state": "NY"
}
],
"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 Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.