Individual provider Active NPI

Sapir Edalati, DNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1558025486
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403879 Issued in NY
Practice address
926 Bedford Ave
Brooklyn, NY 11205-3913
Phone
(718) 875-6900
Fax
(718) 875-6999
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 779480 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403879 NY Primary

Addresses

Primary practice location

926 Bedford Ave
Brooklyn, NY 11205-3913

Mailing address

60 Park St
Tenafly, NJ 07670-1124
Phone (516) 851-5870

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
I20230719002036 NY Practitioner - Psychiatry 9830559087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Columbia University College of Physicians and Surgeons, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pesach Tikvah Hope Development IncGroup PAC ID 2163311564, 44 clinicians

Practice addresses (Care Compare)

5309 18TH Ave
Brooklyn, NY 11204-1523
Phone (718) 705-5190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
779480NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Hasc Diagnostic & Treatment Center, Inc CurrentSince Aug 2, 2023 Accepting new patients
Pesach Tikvah Hope Development Inc CurrentSince Jun 7, 2023 Accepting new patients
Pesach Tikvah Hope Development Inc CurrentSince Jun 7, 2023 Accepting new patients
Hasc Diagnostic &Treatment Center, Inc CurrentSince Aug 2, 2023 Accepting new patients

Locations

1221 E 14th St
Brooklyn, NY 11230
Phone (718) 434-4600

5309 18th Ave
Brooklyn, NY 11204
Phone (718) 705-5190

5601 1st Ave
Brooklyn, NY 11220
Phone (718) 650-0110

926 Bedford Ave
Brooklyn, NY 11205
Phone (718) 865-6900

365 Willoughby Ave
Ste 400
Brooklyn, NY 11205

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1558025486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PARK ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701124",
            "telephone_number": "516-851-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053913",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDALATI",
        "first_name": "SAPIR",
        "credential": "DNP PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "779480",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.