Organization Active NPI

Sanatkumar S Dagli MD PC

  • Pediatrics Physician
  • Yonkers, NY
National Provider Identifier
1245303692
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
122116 Issued in NY
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

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Sanatkumar Shantilar Dagli, MDNPI 1518231075
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0056569OtherGHI
A0694OtherNYHEALTHNET
00229616MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2327989Sanatkumar Dagli PC944 N Broadway Ste 108, Yonkers, NY 10701Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.