Individual provider Active NPI

Gabriel Albert Sara, M.D.

  • Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1356397905
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
165083 Issued in NY
Practice address
1000 10TH Ave
Department of Hematology Oncology Suite 11-C02
New York, NY 10019-1147
Phone
(212) 523-7580
Fax
(212) 523-2004
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 165083 NY Primary

Addresses

Primary practice location

1000 10TH Ave
Department of Hematology Oncology Suite 11-C02
New York, NY 10019-1147

Mailing address

PO Box 95000-2467
Philadelphia, PA 19195-2467
Phone (212) 523-7580

Other identifiers 1

IdentifierTypeStateIssuer
01073005MedicaidNY

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
I20080604000501 NY Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/OncologyPractitioner - Medical Oncology 4880764794 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Hematology & Oncology CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Hematology & Oncology CurrentSince Jan 1, 2016 Accepting new patients
St Lukes Roosevelt Hospital Center Hematology & Oncology Past Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

1000 10th Ave
#11G
New York, NY 10019
Phone (212) 523-5560

10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124

1000 10th Ave
Ste 11C2
New York, NY 10019
Phone (212) 523-7281

150 E 42nd St
#5
New York, NY 10017
Phone (212) 523-5898

Organizations & group practices 6

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1356397905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2467",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952467",
            "telephone_number": "212-523-7580",
            "fax_number": "212-523-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "DEPARTMENT OF HEMATOLOGY ONCOLOGY SUITE 11-C02",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-7580",
            "fax_number": "212-523-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARA",
        "first_name": "GABRIEL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "165083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01073005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.