Boris Sachakov, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

228151 Issued in NY

Practice address

8405 Bay Pkwy
Brooklyn, NY 11214-3359

Phone

(718) 621-1800

Fax

(718) 621-1365

NPI assigned

Nov 11, 2005

Last updated

Mar 31, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Colon & Rectal Care, PC

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1477591907
  NPD (past) Authorized official

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1376524785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 YELLOWSTONE BLVD",
            "address_2": "APT 4D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752042",
            "telephone_number": "719-896-5662",
            "fax_number": "718-621-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143359",
            "telephone_number": "718-621-1800",
            "fax_number": "718-621-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHAKOV",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "228151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02685349",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrence J Sacchi, MD
• Sacco Psychology PC
• Rose Cassidy Sacco
• Madeline Saccocio, RD
• Alan Scott Sacerdote, MD
• Anik Sachdeva, M.B.,B.S.
• Sunil Sachdeva, MD
• Rachele Sachs
• Rita Sachs, PA
• Daphne C. Sack-River, MD

• Colon & Rectal Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Colon & Rectal Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.