Rebekah R Saccocio, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F348010 Issued in NY

Practice address

848 State Route 50
Burnt Hills, NY 12027-9511

Phone

(518) 831-1500

Fax

(518) 377-1677

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1558030056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 STATE ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279511",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 STATE ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279511",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCOCIO",
        "first_name": "REBEKAH",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F348010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frieda Lindsay Pearson, PHARMD
• Victoria Pollard
• Justin A. Provost, M.D.
• Charles Rhynhart
• Emily G Rieffel, LIC. AC.
• Cynthia Sadauskas, RPH
• Saratoga Schenectady Endoscopy Center, LLC
• Saratoga Schenectady Gastroenterology Associates, P.C.
• Saratoga Schenectady Gastroenterology Associates, PC
• Gina Marie Schneider

• Family Nurse Practitioner in Burnt Hills, NY
• Providers in Burnt Hills, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.