Individual provider Active NPI

Sara Elizabeth Tse, PA-C

  • Physician Assistant
  • Manchester, CT
National Provider Identifier
1558573758
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008083-1 Issued in NY
Practice address
71 Haynes St
Prospect Manchester Hospital FBC-Nicu
Manchester, CT 06040-4131
Phone
(860) 647-4735
NPI assigned
May 3, 2007
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00058500 NJ
Physician Assistant 363A00000X 008083-1 NY Primary

Addresses

Primary practice location

71 Haynes St
Prospect Manchester Hospital FBC-Nicu
Manchester, CT 06040-4131

Mailing address

6 Herrick Dr
Glenville, NY 12302-5604
Phone (518) 817-1031

Other practice location 1

315 S Manning Blvd Unit 3563C
Albany, NY 12208-1707
Phone (518) 525-6560

Other names 1

  • Sara Elizabeth Pileggi Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190312000875 NY Practitioner - Physician Assistant 2567758154 Reassigns benefits to 4 organizations
I20210310002018 CT Practitioner - Physician Assistant 2567758154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008083-1NYMDSpeech-Language Pathologist
25MP00058500NJMDPhysician Assistant
5149CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Jan 23, 2021 Accepting new patients
Albany Medical College CurrentSince Jan 26, 2019 Accepting new patients
Albany Medical College Physician Assistant Current Accepting new patients
Saratoga Hospital CurrentSince Jan 23, 2021 Accepting new patients
St. Peter's Hospital of the City of Albany Physician Assistant CurrentSince Jun 1, 2022 Accepting new patients
Albany Medical College CurrentSince May 1, 2019 Accepting new patients
St. Peter's Hospital of the City of Albany Physician Assistant CurrentSince Jun 1, 2022 Accepting new patients
Albany Medical College Physician Assistant CurrentSince Jan 26, 2019 Accepting new patients
North Medical PC Current Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

315 S Manning Blvd
Unit 3563C
Albany, NY 12208
Phone (518) 525-6560

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

Interoperability endpoints

  • Direct secure messaging: stse104935@albanymed.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1558573758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HERRICK DR",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123025604",
            "telephone_number": "518-817-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "address_2": "PROSPECT MANCHESTER HOSPITAL FBC-NICU",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-647-4735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd Unit 3563C",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-6560",
            "fax_number": "518-944-2534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSE",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00058500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008083-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd Unit 3563C",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PILEGGI",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.