Sara L. Tarsis, MD,PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

209269 Issued in NY

Legal business name

SARA L. TARSIS, MD,PLLC

Practice address

1122 Ocean Ave
Brooklyn, NY 11230-1975

Phone

(718) 434-5600

Fax

(718) 434-5638

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Sara Leah Tarsis, M.D.

Title

Doctor

Phone

(718) 434-5600

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1316126949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301975",
            "telephone_number": "718-434-5600",
            "fax_number": "718-434-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301975",
            "telephone_number": "718-434-5600",
            "fax_number": "718-434-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA L. TARSIS, MD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "TARSIS",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-434-5600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "209269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02090288",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN (PPO)",
            "identifier": "185405",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "209269-N03",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2299532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C & B/S HMO'S",
            "identifier": "2K9871",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHEALTHCARE(HMO)",
            "identifier": "3163532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "N82479",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHEALTHCARE (PPO)",
            "identifier": "7664244",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2807514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sapphire Applied Behavior Analysis PLLC
• Sapphire Gardens Home Alf LLC
• Javed I Saqib, MD
• Sara Fishfeld SLP, PLLC
• Sara Hom Eci, LLC
• Sara L. Weber, PH.D. Psychologist LLC
• Sara McCullah
• Sara Shahi DDS PLLC
• Sara Walker-Peck, LCSW
• Cansu Sarac, M.A.

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.