Individual provider Active NPI

Sarah E Otto, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1346703113
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
404879 Issued in NY
Practice address
80 5TH Ave Ofc 903-10
New York, NY 10011-8002
Phone
(347) 707-7735
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404879 NY
Family Nurse Practitioner 363LF0000X 404879 NY Primary

Addresses

Primary practice location

80 5TH Ave Ofc 903-10
New York, NY 10011-8002

Mailing address

80 5TH Ave Ofc 903-10
New York, NY 10011-8002
Phone (347) 707-7735

Other practice location 1

225 Veterans Rd Ste 202
Yorktown Heights, NY 10598-4437
Phone (914) 245-4186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231002001347 NY Practitioner - Nurse Practitioner 8325492838 Reassigns benefits to 2 organizations
I20241002001137 SC Practitioner - Nurse Practitioner 8325492838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Nurse Practitioner PCGroup PAC ID 6901221795, 45 clinicians
Medagent CorpGroup PAC ID 4789900796, 27 clinicians

Practice addresses (Care Compare)

191 Orchard St
Apt 4D
New York, NY 10002-1424
Phone (718) 534-0689

7 Croton Ave
Cortlandt Manor, NY 10567-5203
Phone (914) 962-5800

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
404879NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Sep 12, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Sep 12, 2024 Accepting new patients
Medagent Corp CurrentSince Aug 6, 2023 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Family CurrentSince Mar 10, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Psychiatric Nurse Practitioner P.C Family CurrentSince Feb 24, 2025 Accepting new patients
Modern Psychiatric Nurse Practitioner PC Psychiatric/Mental Health PastSince Feb 24, 2025 Accepting new patients
Gina Greco-Tartaglia, MD PC PastSince Dec 1, 2008 Accepting new patients

Locations

7 Croton Ave
Cortlandt Mnr, NY 10567
Phone (914) 962-5800

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

900 Trail Ridge Rd
Fl 1
Aiken, SC 29803
Phone (803) 233-2882

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGBJBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1346703113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 5TH AVE OFC 903-10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "347-707-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE OFC 903-10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "347-707-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Veterans Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Yorktown Heights",
            "state": "NY",
            "postal_code": "105984437",
            "country_code": "US",
            "telephone_number": "914-245-4186",
            "fax_number": "914-245-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTO",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404879",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "404879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.