Individual provider Active NPI

Pablo Sadler

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1326163221
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
213526 Issued in NY
Practice address
1500 Waters PL
Bronx, NY 10461-2723
Phone
(718) 931-0600
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 213526 NY Primary

Addresses

Primary practice location

1500 Waters PL
Bronx, NY 10461-2723

Mailing address

24 Saymor Dr
Bardonia, NY 10954-2152

Other practice location 1

260 N Little Tor Rd
New City, NY 10956-2627
Phone (845) 999-3060

Other identifiers 1

IdentifierTypeStateIssuer
213526MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001065 NY Practitioner - Psychiatry 9234117920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jawonio IncGroup PAC ID 8628227683, 12 clinicians

Practice addresses (Care Compare)

775 N Main St
Jawonio D and T Center
New Hempstead, NY 10977-8968
Phone (845) 708-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jawonio Inc Current Accepting new patients
Jawonio Inc CurrentSince Jan 9, 2018 Accepting new patients
Jawonio Inc CurrentSince Jan 9, 2018 Accepting new patients
The Mental Health Association of Westchester County, Inc. Psychiatry PastSince Aug 13, 2007 Accepting new patients
The Mental Health Association of Westchester County - Social Care Network Past Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients
Steven Blauner PLLC PastSince May 1, 2022 Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients

Locations

260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648

260 N Little Tor Rd
#D
New City, NY 10956
Phone (845) 708-2000

775 N Main St
#D
Spring Valley, NY 10977
Phone (845) 708-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326163221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SAYMOR DR",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612723",
            "telephone_number": "718-931-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 N Little Tor Rd",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109562627",
            "country_code": "US",
            "telephone_number": "845-999-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADLER",
        "first_name": "PABLO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "213526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.