Individual provider Active NPI

Sarah Alexandra Nitka, D.O.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1467700856
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
266188 Issued in NY
Practice address
301 Elizabeth St
Apartment 5T
New York, NY 10012-2804
Phone
(201) 240-5952
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 266188 NY Primary

Addresses

Primary practice location

301 Elizabeth St
Apartment 5T
New York, NY 10012-2804

Mailing address

301 Elizabeth St
Apartment 5T
New York, NY 10012-2804
Phone (201) 240-5952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20160210000069 NY Practitioner - Osteopathic Manipulative Medicine 3971807017 Reassigns benefits to 1 organization
I20230509000887 NJ Practitioner - Pediatric Medicine 3971807017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266188NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Jun 1, 2023 Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Aug 14, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Aug 14, 2015 Accepting new patients

Locations

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

111 E 210th St
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: sarah.nitka.1@5622.direct.athenahealth.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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1467700856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ELIZABETH ST",
            "address_2": "APARTMENT 5T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122804",
            "telephone_number": "201-240-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ELIZABETH ST",
            "address_2": "APARTMENT 5T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122804",
            "telephone_number": "201-240-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITKA",
        "first_name": "SARAH",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "266188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.