Individual provider Active NPI

Krupa Sajan, PA-C

  • Physician Assistant
  • Glendale, NY
National Provider Identifier
1598401192
Registry record updated May 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028153 Issued in NY
Practice address
7949 Myrtle Ave
Glendale, NY 11385-7451
Phone
(718) 682-7448
NPI assigned
May 7, 2022
Last updated
May 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 028153 NY Primary

Addresses

Primary practice location

7949 Myrtle Ave
Glendale, NY 11385-7451

Mailing address

7949 Myrtle Ave
Glendale, NY 11385-7451
Phone (718) 682-7448

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203001900 NY Practitioner - Physician Assistant 6002288826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Allergy and Sinus Group, PLLCGroup PAC ID 6305920448, 8 clinicians

Practice addresses (Care Compare)

7949 Myrtle Ave
Glendale, NY 11385-7451
Phone 21268663218309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028153NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Sinus Imaging, PLLC CurrentSince May 16, 2022 Accepting new patients

Locations

7949 Myrtle Ave
Glendale, NY 11385
Phone 21268663218309

225 E 57th St
New York, NY 10022
Phone (212) 480-4062

55 E 87th St
Ste 1C
New York, NY 10128
Phone (212) 348-4300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651881600000",
    "number": "1598401192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7949 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857451",
            "telephone_number": "718-682-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7949 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857451",
            "telephone_number": "718-682-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJAN",
        "first_name": "KRUPA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.