Rod Saclolo, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

199682 Issued in NY

Practice address

20 W 86TH St Ste 1a
New York, NY 10024-3604

Phone

(212) 799-1600

Fax

(212) 477-2885

NPI assigned

Dec 20, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prominis Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1841323771
  Medicare reassignment NPD
• Saclolo Wellness Institute

  • Internal Medicine Physician
  • New York, NY
  • NPI 1023212164
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396809091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 86TH ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243604",
            "telephone_number": "212-799-1600",
            "fax_number": "212-477-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 86TH ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243604",
            "telephone_number": "212-799-1600",
            "fax_number": "212-477-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACLOLO",
        "first_name": "ROD",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01761628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Sacks, MD
• Richard J Sacks, PSYCHOANALYST
• Stephanie Robin Sacks, LCSW
• Steven H Sacks, M.D.
• Saclolo Wellness Institute
• Hernan Daniel Sacoto, MD
• Anthony Sacramento
• Ann Marie Sacramone, MSED LP
• Elizabeth Ann Sacre, ED.D., LP
• Laura Sadai

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.