Individual provider Active NPI

Zachary Sakena, PA-C

  • Physician Assistant
  • Atlantic City, NJ
National Provider Identifier
1366060550
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1925 Pacific Ave # 8
Atlantic City, NJ 08401-6713
Phone
(609) 441-8127
NPI assigned
Jul 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1925 Pacific Ave # 8
Atlantic City, NJ 08401-6713

Mailing address

1 Wyndom Way
Ocean View, NJ 08230-1404
Phone (609) 602-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200828000638 NJ Practitioner - Physician Assistant 9638596190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Urgent Care Medicine of New Jersey LLP 9 clinicians

Practice addresses (Care Compare)

1210 Route 130 N
Suite 1438
Cinnaminson, NJ 08077-3046
Phone (856) 829-0407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Regional Urgent Care LLC CurrentSince Jul 18, 2021 Accepting new patients
Atlanticare Physician Group PastSince Jul 27, 2020 Accepting new patients

Locations

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

Interoperability endpoints

  • Direct secure messaging: zsakena76901@direct.optum.com

Organizations & group practices 3

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1366060550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WYNDOM WAY",
            "city": "OCEAN VIEW",
            "state": "NJ",
            "postal_code": "082301404",
            "telephone_number": "609-602-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PACIFIC AVE # 8",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016713",
            "telephone_number": "609-441-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKENA",
        "first_name": "ZACHARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.