Organization Active NPI

Inga Sazan MD P.C.

Doing business as Riverside Pediatrics

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1316298060
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
254997 Issued in NY
Legal business name
INGA SAZAN MD P.C.
Doing business as
Riverside Pediatrics
Practice address
120 Riverside Blvd
Ground Floor
New York, NY 10069-0501
Phone
(212) 918-1662
Fax
(212) 918-1663
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Dr. Inga Sazan, M.D.NPI 1548418833
Title
President/Pediatrician
Phone
(212) 918-1662

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 254997 NY Primary

Addresses

Primary practice location

120 Riverside Blvd
Ground Floor
New York, NY 10069-0501

Mailing address

120 Riverside Blvd
Ground Floor
New York, NY 10069-0501
Phone (212) 918-1662

Other identifiers 1

IdentifierTypeStateIssuer
3404359MedicaidNY

Other names 1

  • Riverside Pediatrics Doing business as

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": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1316298060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RIVERSIDE BLVD",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100690501",
            "telephone_number": "212-918-1662",
            "fax_number": "212-918-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIVERSIDE BLVD",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100690501",
            "telephone_number": "212-918-1662",
            "fax_number": "212-918-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGA SAZAN MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "SAZAN",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRICIAN",
        "authorized_official_telephone_number": "212-918-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "254997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.