Organization Active NPI

Sak Medical PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1407217706
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAK MEDICAL PC
Practice address
2069 2ND Ave
New York, NY 10029-4101
Phone
(212) 410-2900
Fax
(212) 410-2913
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Saka Kazeem, MD
Title
MD
Phone
(212) 410-2900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

2069 2ND Ave
New York, NY 10029-4101

Mailing address

2069 2ND Ave
New York, NY 10029-4101
Phone (212) 410-2900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1407217706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294101",
            "telephone_number": "212-410-2900",
            "fax_number": "212-410-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294101",
            "telephone_number": "212-410-2900",
            "fax_number": "212-410-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "KAZEEM",
        "authorized_official_first_name": "SAKA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-410-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.