Mordechai Sacks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1890 Palmer Ave Ste 304
Larchmont, NY 10538-3031

Phone

(914) 834-9606

Fax

(914) 834-0648

NPI assigned

Feb 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Physicians of Fairfield County LLCGroup PAC ID 9335051432, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: msacks24776@stamfordhealth.direct-ci.com
• Direct secure messaging: msacks395104@direct.ynhh.org

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.

• Emergency Medicine Physicians of Fairfield County, LLC

  • Emergency Medicine Physician
  • Stamford, CT
  • NPI 1689614109
  Medicare reassignment Care Compare group
• Larchmont Family Medicine, PLLC

  • Family Medicine Physician
  • Larchmont, NY
  • NPI 1124487087
  Medicare reassignment
• Emergency Medicine Physicians of New Haven County,LLC

  • Emergency Medicine Physician
  • Meriden, CT
  • NPI 1083910962
  Medicare reassignment
• Clinic 21 of Connecticut LLC

  • Emergency Medicine Physician
  • Stamford, CT
  • NPI 1760856306
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greenwich Hospital

  • General Acute Care Hospital
  • Greenwich, CT
  • NPI 1609846088
  Care Compare affiliation

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1265890396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 PALMER AVE",
            "address_2": "STE 304",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383031",
            "telephone_number": "914-834-9606",
            "fax_number": "914-834-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 PALMER AVE STE 304",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383031",
            "telephone_number": "914-834-9606",
            "fax_number": "914-834-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "MORDECHAI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D Roy, M.D.
• Mitchell Rubin, DPM
• Josephine Sabrina Russo, OD
• Julia Marie Sabatino, MHC-LP
• Michele Caryn Sacks, PHD
• David Ross Sadowsky, M.D.
• Andres Salgado
• Salveo Healthcare Solutions
• Mark Saraceno
• Michelle J Sasson, MD

• Physician Assistant in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.