Individual provider Active NPI

Sengal Kelit Alazar, MD

  • Emergency Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1609371004
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD478282 Issued in PA
Practice address
South Side Hospital Emergency Department - Northwell
301 East Main Street
Bay Shore, NY 11706
Phone
(631) 968-3970
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD478282 PA Primary

Addresses

Primary practice location

South Side Hospital Emergency Department - Northwell
301 East Main Street
Bay Shore, NY 11706

Mailing address

Southside Hospital Emergency Department - Northwell
301 East Main Street
Bay Shore, NY 11706
Phone (631) 968-3970

Other practice location 1

101 Nicolls Rd Rm 30
Stony Brook, NY 11794-0001
Phone (631) 444-8020

Other practice location 2

South Side Hospital Emergency Department - Northwell
301 East Main Street
Bay Shore, NY 11706
Phone (631) 968-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220809002106 NY Practitioner - Emergency Medicine 2567798374 Reassigns benefits to 2 organizations
I20220809002652 PA Practitioner - Emergency Medicine 2567798374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of New York PLLCGroup PAC ID 5597767129, 36 clinicians

Practice addresses (Care Compare)

12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 664-8000

Hospital & facility affiliations

  • Montefiore Mount Vernon Hospital Hospital, Mount Vernon, NY, CCN 330086
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD478282PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New York, PLLC Emergency Medicine CurrentSince Aug 15, 2024 Accepting new patients
Robert Packer Hospital CurrentSince Aug 15, 2022 Accepting new patients
Robert Packer Hospital CurrentSince Aug 15, 2022 Accepting new patients
Troy Community Hospital Incorporated CurrentSince Oct 1, 2022 Accepting new patients
Corning Hospital Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Corning Hospital CurrentSince Aug 15, 2022 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Robert Packer Hospital Past Accepting new patients

Locations

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

1 Guthrie Sq
Ste B
Sayre, PA 18840
Phone (570) 888-6666

91 Hospital Dr
Towanda, PA 18848
Phone (570) 268-2240

275 Guthrie Dr
Troy, PA 16947
Phone (570) 297-2121

Interoperability endpoints

  • Direct secure messaging: salazar180267@direct-guthrie.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1609371004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTHSIDE HOSPITAL EMERGENCY DEPARTMENT - NORTHWELL",
            "address_2": "301 EAST MAIN STREET",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-968-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH SIDE HOSPITAL EMERGENCY DEPARTMENT - NORTHWELL",
            "address_2": "301 EAST MAIN STREET",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-968-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Nicolls Rd Rm 30",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117940001",
            "country_code": "US",
            "telephone_number": "631-444-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "South Side Hospital Emergency Department - Northwell",
            "address_2": "301 East Main Street",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "11706",
            "country_code": "US",
            "telephone_number": "631-968-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAZAR",
        "first_name": "SENGAL",
        "middle_name": "KELIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD478282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.