Active NPI
Sarina J Distefano, MD
- Obstetrics & Gynecology Physician
- Sleepy Hollow, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 150224
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00858177 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York Medical College and Hospital for Women, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Strong Obstetrics-Gynecology Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Open Door Family Medical Center Inc | Current | Accepting new patients | |
| Open Door Family Medical Center, Inc. | Current | Accepting new patients | |
| Open Door Family Medical Center Inc | Current | 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
- https://fhir4.healow.com/fhir/r4/EAJCAA
- sdistefano566223@direct.urmc.rochester.edu
- 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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Obstetrics & Gynecology
-
- Federally Qualified Health Center (FQHC)
- Port Chester, NY
- NPI 1285893719
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1184668311
-
- Federally Qualified Health Center (FQHC)
- Saugerties, NY
- NPI 1780166645
-
- Federally Qualified Health Center (FQHC)
- Ossining, NY
- NPI 1467487637
-
- Internal Medicine Physician
- Tarrytown, NY
- NPI 1497917983
-
dba Phelps Hospital
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
-
dba Phelps Memorial Pathology
- Anatomic Pathology Physician
- Sleepy Hollow, NY
- NPI 1891728317
-
- Obstetrics & Gynecology Physician
- Sleepy Hollow, NY
- NPI 1063580249
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northern Westchester Hospital Transitional Care Unit
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
dba Northern Westchester Hospital
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
-
dba Phelps Hospital
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.