Individual provider Active NPI

Robert Edmund Sarnataro, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1477668333
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
158298 Issued in NY
Practice address
3229 162ND St
Flushing, NY 11358-1324
Phone
(718) 358-6389
Fax
(718) 358-9819
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 158298 NY Primary

Addresses

Primary practice location

3229 162ND St
Flushing, NY 11358-1324

Mailing address

3229 162ND St
Flushing, NY 11358-1324
Phone (718) 358-6389

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000418 NY Practitioner - Internal Medicine 2365621372 Practice locations: Flushing, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158298NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1477668333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581324",
            "telephone_number": "718-358-6389",
            "fax_number": "718-358-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581324",
            "telephone_number": "718-358-6389",
            "fax_number": "718-358-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNATARO",
        "first_name": "ROBERT",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "158298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.