Organization Active NPI

Sas Physician Services, PLLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1386218006
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
SAS PHYSICIAN SERVICES, PLLC
Practice address
480 Court St Ste 101
Brooklyn, NY 11231-4091
Phone
(718) 393-5559
Fax
(718) 603-9469
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Dr. Sergei A Sobolevsky, MDNPI 1831154301
Title
Ceo
Phone
(646) 267-3432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

480 Court St Ste 101
Brooklyn, NY 11231-4091

Mailing address

40 E Oakdene Ave Unit a
Palisades Park, NJ 07650-1630
Phone (646) 267-3432

Other practice location 1

2626 E 14th St Ste 202
Brooklyn, NY 11235-3968
Phone (718) 393-5559

Other names 1

  • Downtown Vein and Vascular Treatment Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210618000650 NY Part B Supplier - Clinic/Group Practice 9234539891 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20251103000458 PA Part B Supplier - Clinic/Group Practice 9234539891 Receives reassigned benefits from 1 practitioner
Practice locations: Wilkes Barre, PA

National Provider Directory

National Provider Directory

Locations

2626 E 14th St
Ste 202
Brooklyn, NY 11235
Phone (646) 267-3432

840 8th Ave
New York, NY 10019

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1386218006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E OAKDENE AVE UNIT A",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501630",
            "telephone_number": "646-267-3432",
            "fax_number": "718-603-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 COURT ST STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314091",
            "telephone_number": "718-393-5559",
            "fax_number": "718-603-9469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 E 14th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353968",
            "country_code": "US",
            "telephone_number": "718-393-5559",
            "fax_number": "718-603-9469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAS PHYSICIAN SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "SOBOLEVSKY",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-267-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Vein and Vascular Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.