Individual provider Active NPI

Melissa Sapan, M.D.

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
National Provider Identifier
1487654885
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
185009 Issued in NY
Practice address
150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2598
Phone
(631) 225-7200
Fax
(631) 930-9451
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 185009 NY Primary

Addresses

Primary practice location

150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2598

Mailing address

150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2598
Phone (631) 225-7200

Other identifiers 2

IdentifierTypeStateIssuer
300110623OtherNYRAILROAD MEDICARE
01888206MedicaidNY

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
I20091209000471 NY Practitioner - Diagnostic Radiology 8224177977 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Chicago College of Medicine and Surgery, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zwanger and Pesiri Radiology Group LLPGroup PAC ID 5092700799, 93 clinicians

Practice addresses (Care Compare)

150 Sunrise Hwy
Suite E
Lindenhurst, NY 11757-2598
Phone (631) 225-7200

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Aug 1, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Feb 24, 2014 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 24, 2014 Accepting new patients
North American Partners in Anesthesia LLP Past Accepting new patients
Brookdale Hospital Medical Center Past Accepting new patients

Locations

400 W Main St
Babylon, NY 11702
Phone (631) 669-5021

400 W Main St
Ste 304
Babylon, NY 11702
Phone (631) 669-5026

554 Larkfield Rd
East Northport, NY 11731
Phone (631) 266-1042

285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

935 Northern Blvd
Ste 200
Great Neck, NY 11021
Phone (516) 829-4414

300 Community Dr
Plandome, NY 11030

9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522

1220 Hicksville Rd
Seaford, NY 11783

6144 Route 25A
Ste 1
Wading River, NY 11792

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1487654885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "208",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-225-7200",
            "fax_number": "631-930-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "208",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-225-7200",
            "fax_number": "631-930-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPAN",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "185009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300110623",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01888206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

Verify at the official NPI Registry.