Active NPI
Reeta Saharia, MD
- Pediatrics Physician
- Baldwin, NY
National Provider Identifier
1477654911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 138305
- Practice address
- 865 Merrick Road
Baldwin Medical Plaza #202
Baldwin, NY 11510 - Phone
- (516) 223-9772
- Fax
- (516) 223-3801
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 138305 | NY | Primary |
Addresses
Primary practice location
865 Merrick Road
Baldwin Medical Plaza #202
Baldwin, NY 11510
Mailing address
865 Merrick Road
202
Baldwin, NY 11510
Phone (516) 223-9772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006560887 | Medicaid | NY |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160323001278 | NY | Order and Referring Only - Pediatric Medicine | 3476850140 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1477654911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 MERRICK ROAD",
"address_2": "202",
"city": "BALDWIN",
"state": "NY",
"postal_code": "11510",
"telephone_number": "516-223-9772",
"fax_number": "516-223-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 MERRICK ROAD",
"address_2": "BALDWIN MEDICAL PLAZA #202",
"city": "BALDWIN",
"state": "NY",
"postal_code": "11510",
"telephone_number": "516-223-9772",
"fax_number": "516-223-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHARIA",
"first_name": "REETA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "138305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006560887",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.