Individual provider Active NPI

Sagee S Kahalon, PA-C

  • Medical Physician Assistant
  • Cedarhurst, NY
National Provider Identifier
1285142182
Registry record updated Jan 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021737-1 Issued in NY
Practice address
470 Cedarhurst Ave
Cedarhurst, NY 11516-1217
Phone
(646) 496-8526
NPI assigned
Jan 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 021737-1 NY Primary

Addresses

Primary practice location

470 Cedarhurst Ave
Cedarhurst, NY 11516-1217

Mailing address

470 Cedarhurst Ave
Cedarhurst, NY 11516-1217
Phone (646) 496-8526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
021737-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515888000000",
    "number": "1285142182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 CEDARHURST AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161217",
            "telephone_number": "646-496-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CEDARHURST AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161217",
            "telephone_number": "646-496-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHALON",
        "first_name": "SAGEE",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-14",
        "last_updated": "2018-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021737-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2018; 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.