Individual provider Active NPI

Marci Lynn Saulnier, PA

  • Physician Assistant
  • Mount Kisco, NY
National Provider Identifier
1457684383
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013527 Issued in NY
Practice address
400 E Main St FL 1
Mount Kisco, NY 10549-3417
Phone
(914) 242-7640
Fax
(914) 242-7681
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 013527 NY Primary

Addresses

Primary practice location

400 E Main St FL 1
Mount Kisco, NY 10549-3417

Mailing address

3 Mountain View Knolls Dr Apt F
Fishkill, NY 12524-2104
Phone (845) 224-5370

Other practice location 1

1940 Commerce St
Yorktown Heights, NY 10598-4428
Phone (914) 242-7640

Other identifiers 1

IdentifierTypeStateIssuer
03205790MedicaidNY

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000024 NY Practitioner - Physician Assistant 5294873311 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013527NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Jun 8, 2013 Accepting new patients

Locations

40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

Interoperability endpoints

  • Direct secure messaging: msaulnier69619@northwell.direct-ci.com

Organizations & group practices 3

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1457684383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOUNTAIN VIEW KNOLLS DR APT F",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242104",
            "telephone_number": "845-224-5370",
            "fax_number": "914-242-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST FL 1",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-242-7640",
            "fax_number": "914-242-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Commerce St",
            "address_purpose": "LOCATION",
            "city": "Yorktown Heights",
            "state": "NY",
            "postal_code": "105984428",
            "country_code": "US",
            "telephone_number": "914-242-7640",
            "fax_number": "914-302-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAULNIER",
        "first_name": "MARCI",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03205790",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.