Active NPI
Inga Sazan MD P.C.
Doing business as Riverside Pediatrics
- Pediatrics Physician
- New York, NY
National Provider Identifier
1316298060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 254997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Inga Sazan, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404359 | Medicaid | NY |
Other names 1
- Riverside Pediatrics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- New York, NY
- NPI 1548418833
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.