NPIMap

Organization Active NPI

Sadick Aesthetic Surgery and Dermatology, PC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1487727103
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SADICK AESTHETIC SURGERY AND DERMATOLOGY, PC
Practice address
911 Park Ave
Ste #1a
New York, NY 10075-0385
Phone
(212) 772-7242
Fax
(212) 517-9566
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Nancy Osorio
Title
Practice Administrator
Phone
(212) 772-7242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

911 Park Ave
Ste #1a
New York, NY 10075-0385

Mailing address

911 Park Ave
Ste #1a
New York, NY 10075-0385
Phone (212) 772-7242

National Provider Directory

National Provider Directory

Locations

833 Northern Blvd
Ste 130
Great Neck, NY 11021
Phone (516) 482-8040

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1487727103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 PARK AVE",
            "address_2": "STE #1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750385",
            "telephone_number": "212-772-7242",
            "fax_number": "212-517-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PARK AVE",
            "address_2": "STE #1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750385",
            "telephone_number": "212-772-7242",
            "fax_number": "212-517-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADICK AESTHETIC SURGERY AND DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "212-772-7242"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.