Individual provider Active NPI

Vasiliki Leonidas Saitas, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Emerson, NJ
National Provider Identifier
1427105428
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA05944700 Issued in NJ
Practice address
466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368
Phone
(201) 967-8221
NPI assigned
Jan 4, 2007
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA05944700 NJ Primary

Addresses

Primary practice location

466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368

Mailing address

PO Box 132
Emerson, NJ 07630-0132
Phone (201) 214-4285

Other identifiers 1

IdentifierTypeStateIssuer
0020796MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040505000948 NJ Practitioner - Pathology 2264420447 Reassigns benefits to 3 organizations
I20260326003599 FL Practitioner - Pathology 2264420447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Alliance LLCGroup PAC ID 8123258118, 4 clinicians

Practice addresses (Care Compare)

466 Old Hook Rd
Suite 1
Emerson, NJ 07630-1368
Phone (201) 261-0821

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (201) 392-3196

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05944700NJMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Alliance LLC CurrentSince Mar 10, 2014 Accepting new patients
Sovereign Medical Group LLC Clinical Medical Laboratory CurrentSince Jan 15, 2011 Accepting new patients
Biopath Diagnostic Associates, PC Clinical Medical Laboratory CurrentSince Mar 30, 2011 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Jan 15, 2011 Accepting new patients
Urology Specialty Care PA Past Accepting new patients

Locations

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

466 Old Hook Rd
Ste 1
Emerson, NJ 07630
Phone (201) 261-0821

15-01 Broadway
Ste 1
Fair Lawn, NJ 07410
Phone (201) 703-8487

85 Harristown Rd
Fl 2
Glen Rock, NJ 07452
Phone (201) 703-5500

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1427105428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076300132",
            "telephone_number": "201-214-4285",
            "fax_number": "201-512-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD STE 1",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301368",
            "telephone_number": "201-967-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAITAS",
        "first_name": "VASILIKI",
        "middle_name": "LEONIDAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA05944700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020796",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

Verify at the official NPI Registry.