Individual provider Active NPI

Sarah Klobocista, P.A.

  • Physician Assistant
  • New York, NY
National Provider Identifier
1477622314
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010732 Issued in NY
Practice address
14 W 14TH St
New York, NY 10011-7524
Phone
(212) 390-1656
NPI assigned
Nov 7, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 010732 NY Primary

Addresses

Primary practice location

14 W 14TH St
New York, NY 10011-7524

Mailing address

14 W 14TH St
New York, NY 10011-7524
Phone (212) 390-1656

Other identifiers 1

IdentifierTypeStateIssuer
010732OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3704CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince May 1, 2017 Accepting new patients
Essen Medical Associates,PC CurrentSince Dec 1, 2017 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Jun 5, 2023 Accepting new patients
Fpa Hospital Based CurrentSince May 1, 2017 Accepting new patients
Bimc Faculty Practice Physician Assistant Past Accepting new patients

Locations

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477622314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117524",
            "telephone_number": "212-390-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117524",
            "telephone_number": "212-390-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOBOCISTA",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "010732",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.