Individual provider Active NPI

Abul Sarker, PA

  • Surgical Physician Assistant
  • Suffern, NY
National Provider Identifier
1336768647
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
O000218 Issued in NY
Practice address
2 Sagamore Ave
Suffern, NY 10901-7412
Phone
(718) 309-0656
Fax
(845) 357-1832
NPI assigned
Apr 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X O000218 NY Primary

Addresses

Primary practice location

2 Sagamore Ave
Suffern, NY 10901-7412

Mailing address

2 Sagamore Ave
Suffern, NY 10901-7412
Phone (718) 309-0656

Other names 1

  • Dr. Abul Sarker Professional name

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
O000218NYMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1336768647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAGAMORE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017412",
            "telephone_number": "718-309-0656",
            "fax_number": "845-357-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAGAMORE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017412",
            "telephone_number": "718-309-0656",
            "fax_number": "845-357-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKER",
        "first_name": "ABUL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "O000218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABUL",
            "last_name": "SARKER",
            "prefix": "DR.",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.