Active NPI
Rufus Edgar Sadler, M.D.
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1316935406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 163783
- Practice address
- 3750 Third Ave
DMG
Bronx, NY 10456-2102 - Phone
- (718) 588-0100
- Fax
- (646) 568-2982
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 163783 | NY | Primary |
Addresses
Primary practice location
3750 Third Ave
DMG
Bronx, NY 10456-2102
Mailing address
392 Bedford Park Blvd
Bronx, NY 10458-2415
Phone (718) 364-0100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA45747 | Other | NJ | LICENSE NUMBER |
| 00909462 | Other | NY | MEDICAID PROVIDER NUMBER |
| 163783 | Other | NY | LICENSE |
| 53D771 | Other | NY | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163783 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens OB GYN Care at the Pavilion PC | Past | Accepting new patients | |
| Doctor Medical of Ny PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Bronx, NY
- NPI 1831140722
-
- Obstetrics & Gynecology Physician
- Bronx, NY
- NPI 1376594663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1316935406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 BEDFORD PARK BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104582415",
"telephone_number": "718-364-0100",
"fax_number": "718-295-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 THIRD AVE",
"address_2": "DMG",
"city": "BRONX",
"state": "NY",
"postal_code": "104562102",
"telephone_number": "718-588-0100",
"fax_number": "646-568-2982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADLER",
"first_name": "RUFUS",
"middle_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "163783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "MA45747",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER NUMBER",
"identifier": "00909462",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "163783",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "53D771",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.