Active NPI
Gary Frank Sasiadek, PHARMD
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1619238458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056673
- Practice address
- 72 Manhattan Ave
Brooklyn, NY 11206-3147 - Phone
- (718) 388-8500
- NPI assigned
- Jun 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 056673 | NY | Primary |
Addresses
Primary practice location
72 Manhattan Ave
Brooklyn, NY 11206-3147
Mailing address
8000 Utopia Pkwy
Jamaica, NY 11439-9000
Phone (718) 990-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056673 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omkara Health Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1619238458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 UTOPIA PKWY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114399000",
"telephone_number": "718-990-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 MANHATTAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112063147",
"telephone_number": "718-388-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASIADEK",
"first_name": "GARY",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-07",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.