Individual provider Active NPI

Robin Jill Sacharoff, OTR

  • Contractor
  • Albertson, NY
National Provider Identifier
1477690550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
003753-1 Issued in NY
Practice address
82 Beverly Dr
Albertson, NY 11507-1304
Phone
(516) 484-8341
Fax
(516) 484-8341
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 003753-1 NY Primary

Addresses

Primary practice location

82 Beverly Dr
Albertson, NY 11507-1304

Mailing address

82 Beverly Dr
Albertson, NY 11507-1304
Phone (516) 484-8341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003753-1NYMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477690550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BEVERLY DR",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071304",
            "telephone_number": "516-484-8341",
            "fax_number": "516-484-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 BEVERLY DR",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071304",
            "telephone_number": "516-484-8341",
            "fax_number": "516-484-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHAROFF",
        "first_name": "ROBIN",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "003753-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.