Individual provider Active NPI

Sarina J Distefano, MD

  • Obstetrics & Gynecology Physician
  • Sleepy Hollow, NY
National Provider Identifier
1356445464
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
150224 Issued in NY
Practice address
755 N Broadway Ste 560
Sleepy Hollow Medical Group at Phelps
Sleepy Hollow, NY 10591-1077
Phone
(914) 631-0337
Fax
(914) 631-0552
NPI assigned
Sep 11, 2006
Last updated
Mar 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 150224 NY Primary

Addresses

Primary practice location

755 N Broadway Ste 560
Sleepy Hollow Medical Group at Phelps
Sleepy Hollow, NY 10591-1077

Mailing address

755 N Broadway Ste 560
Sleepy Hollow Medical Group at Phelps
Sleepy Hollow, NY 10591-1077
Phone (914) 631-0337

Other identifiers 1

IdentifierTypeStateIssuer
00858177MedicaidNY

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
I20040123000837 NY Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 5294637823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Gynecological Oncology
Education
New York Medical College and Hospital for Women, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Nov 26, 2018 Accepting new patients
Strong Obstetrics-Gynecology Group Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Open Door Family Medical Center Inc Current Accepting new patients
Open Door Family Medical Center, Inc. CurrentSince Nov 26, 2022 Accepting new patients
Open Door Family Medical Center Inc CurrentSince Nov 26, 2022 Accepting new patients
Sleepy Hollow Medical Group@Phelps Obstetrics & Gynecology Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients

Locations

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

50 E South St
Ste 300
Geneseo, NY 14454
Phone (585) 243-0080

300 Community Dr
Manhasset, NY 11030

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

165 Main St
Ossining, NY 10562
Phone (914) 941-1263

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

755 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 302-0100

755 N Broadway
Fl 5
Sleepy Hollow, NY 10591
Phone (914) 366-3134

755 N Broadway
Ste 560
Sleepy Hollow, NY 10591
Phone (914) 366-5400

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA
  • Direct secure messaging: sdistefano566223@direct.urmc.rochester.edu
  • Direct secure messaging: sdistefano67430@northwell.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1356445464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY STE 560",
            "address_2": "SLEEPY HOLLOW MEDICAL GROUP AT PHELPS",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911077",
            "telephone_number": "914-631-0337",
            "fax_number": "914-631-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY STE 560",
            "address_2": "SLEEPY HOLLOW MEDICAL GROUP AT PHELPS",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911077",
            "telephone_number": "914-631-0337",
            "fax_number": "914-631-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTEFANO",
        "first_name": "SARINA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "150224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00858177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.