NPIMap

Organization Active NPI

Em-Sapa

  • Surgical Physician Assistant
  • Dix Hills, NY
National Provider Identifier
1245407303
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
EM-SAPA
Practice address
19 Clayton Dr
Dix Hills, NY 11746-5503
Phone
(631) 944-2788
NPI assigned
May 8, 2008
Organization subpart
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

Authorized official

Name
Jose Ventura, PANPI 1972662146
Title
PA
Phone
(631) 944-2788

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
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X NY Primary

Addresses

Primary practice location

19 Clayton Dr
Dix Hills, NY 11746-5503

Mailing address

19 Clayton Dr
Dix Hills, NY 11746-5503
Phone (631) 944-2788

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245407303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CLAYTON DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465503",
            "telephone_number": "631-944-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CLAYTON DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465503",
            "telephone_number": "631-944-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM-SAPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VENTURA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "631-944-2788",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.