Individual provider Active NPI

Sara Dekams

  • Specialist
  • Levittown, NY
National Provider Identifier
1518324656
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
897261141 Issued in NY
Practice address
72 Farmedge Rd
Levittown, NY 11756-5202
Phone
(516) 490-3301
Fax
(516) 490-3303
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 897261141 NY Primary

Addresses

Primary practice location

72 Farmedge Rd
Levittown, NY 11756-5202

Mailing address

72 Farmedge Rd
Levittown, NY 11756-5202
Phone (516) 490-3301

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
897261141NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1518324656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 FARMEDGE RD",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565202",
            "telephone_number": "516-490-3301",
            "fax_number": "516-490-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FARMEDGE RD",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565202",
            "telephone_number": "516-490-3301",
            "fax_number": "516-490-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKAMS",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "897261141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.