Individual provider Active NPI

Sara Sultana Gafur, RN

  • Registered Nurse
  • Jamaica, NY
National Provider Identifier
1407579535
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
852147-01 Issued in NY
Practice address
16105 119TH Ave
Jamaica, NY 11434-2137
Phone
(917) 693-1947
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 852147-01 NY Primary

Addresses

Primary practice location

16105 119TH Ave
Jamaica, NY 11434-2137

Mailing address

10906 164TH St FL 1
Jamaica, NY 11433-2922
Phone (347) 601-1467

Other practice location 1

10906 164th St Fl 1
Jamaica, NY 11433-2922
Phone (347) 601-1467

Other identifiers 1

IdentifierTypeStateIssuer
UNKNOWNMedicaidNY

Other names 1

  • Mrs. Sara Sultana Gafur-Rivas Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sara.gafur@qsac.com Health Information Exchange (HIE) QSAC, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
852147-01NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emorys Annex Current Accepting new patients

Organizations & group practices 1

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": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1407579535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10906 164TH ST FL 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332922",
            "telephone_number": "347-601-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16105 119TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342137",
            "telephone_number": "917-693-1947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10906 164th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114332922",
            "country_code": "US",
            "telephone_number": "347-601-1467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAFUR",
        "first_name": "SARA",
        "middle_name": "SULTANA",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "852147-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.gafur@qsac.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "QSAC, INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information",
            "address_1": "16105 119th Ave",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114342137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "GAFUR-RIVAS",
            "middle_name": "SULTANA",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.