Individual provider Active NPI

Jeffrey Sadaya

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1295071900
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
341 Eastern Pkwy
Apt 7E
Brooklyn, NY 11216-4861
Phone
(516) 680-9521
NPI assigned
Dec 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

341 Eastern Pkwy
Apt 7E
Brooklyn, NY 11216-4861

Mailing address

341 Eastern Pkwy
Apt 7E
Brooklyn, NY 11216-4861
Phone (516) 680-9521

Other identifiers 1

IdentifierTypeStateIssuer
028673OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140228000187 NY Practitioner - Physical Therapist in Private Practice 9436389988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

475 Sterling PL
Apt 4I
Brooklyn, NY 11238-4669
Phone (516) 680-9521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Physiotherapy PLLC Physical Therapist CurrentSince Aug 16, 2018 Accepting new patients

Locations

36 Plaza St E
Ste 1A
Brooklyn, NY 11238
Phone (347) 228-4653

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1295071900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 EASTERN PKWY",
            "address_2": "APT 7E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164861",
            "telephone_number": "516-680-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 EASTERN PKWY",
            "address_2": "APT 7E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164861",
            "telephone_number": "516-680-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADAYA",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-27",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "028673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.