NPIMap

Individual provider Active NPI

Shadi Sayegh, M.D

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1316351174
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
290147 Issued in NY
Practice address
34 N Broadway
Yonkers, NY 10701-2793
Phone
(914) 861-8006
NPI assigned
Jun 19, 2014
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 290147 NY Primary

Addresses

Primary practice location

34 N Broadway
Yonkers, NY 10701-2793

Mailing address

34 N Broadway
Yonkers, NY 10701-2793
Phone (914) 861-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817000372 NY Practitioner - Family Practice 1951673599 Reassigns benefits to 2 organizations
Practice locations: Bronx, NY; Yonkers, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph's Medical Practice PCGroup PAC ID 5597901868, 28 clinicians

Practice addresses (Care Compare)

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7584

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
290147NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital & Medical Center Family Medicine CurrentSince Jan 7, 2018 Accepting new patients
St. Joseph's Hospital Yonkers Current Accepting new patients
St Joseph's Medical Practice PC Family Medicine CurrentSince Jul 5, 2017 Accepting new patients
St Josephs Hospital Yonkers CurrentSince Jan 7, 2018 Accepting new patients
St. Joseph's Hospital, Yonkers Past Accepting new patients
Fieldston Lodge Care Center Past Accepting new patients
Gold Crest Care Center Inc. Past Accepting new patients

Locations

3050 Corlear Ave
Ste 201
Bronx, NY 10463
Phone (718) 543-2700

275 North St
Harrison, NY 10528
Phone (914) 925-5211

102 Park Ave
Yonkers, NY 10703
Phone (914) 376-3770

102 Park Ave
Ste 1
Yonkers, NY 10703
Phone (914) 965-4300

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

81 S Broadway
Yonkers, NY 10701
Phone (914) 375-3200

909 Midland Ave
Ste D
Yonkers, NY 10704

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJJACA
  • Direct secure messaging: shadi.sayegh.p1@direct.saintjosephs.nextgenshare.com
  • Direct secure messaging: shadi.sayegh@sjmppc.eclinicaldirectplus.com
  • Direct secure messaging: shsmedicalsservicespc.shadisayegh@141889.advancedmd-direct.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1316351174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012793",
            "telephone_number": "914-861-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012793",
            "telephone_number": "914-861-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYEGH",
        "first_name": "SHADI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "290147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.