Individual provider Active NPI

Mohammad Abu Sadat, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1639532021
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
290103 Issued in NY
Practice address
622 W 168TH St
PH5-133 Stem
New York, NY 10032-3720
Phone
(212) 342-5525
Fax
(212) 305-3204
NPI assigned
Apr 1, 2016
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 290103 NY Primary

Addresses

Primary practice location

622 W 168TH St
PH5-133 Stem
New York, NY 10032-3720

Mailing address

622 W 168TH St
PH5-133 Stem
New York, NY 10032-3720

Other practice location 1

101 Pennsylvania Ave
Brooklyn, NY 11207-2428
Phone (718) 240-4000

Other practice location 2

1055 Stewart Ave
Bethpage, NY 11714-3596
Phone (516) 948-0100

Other practice location 3

260 W Sunrise Hwy
Valley Stream, NY 11581-1011
Phone (516) 945-3000

Other practice location 4

14015 Sanford Ave
Flushing, NY 11355-2686
Phone (718) 670-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20210428000979 NY Practitioner - Anesthesiology 8921346859 Reassigns benefits to 4 organizations
I20220819000355 NJ Practitioner - Anesthesiology 8921346859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Anesthesiology Associates of Boro Park, LLPGroup PAC ID 9739079021, 44 clinicians

Practice addresses (Care Compare)

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-8816

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290103NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Parkway Anesthesia Associates LLC Anesthesiology CurrentSince Jul 9, 2022 Accepting new patients
Anesthesiology Associates of Boro Park, LLP Anesthesiology CurrentSince Jul 2, 2021 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince May 6, 2025 Accepting new patients
Maimonides Department of Psychiatry FPP Past Accepting new patients

Locations

94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7 Southwoods Blvd
Ste 4
Albany, NY 12211

1055 Stewart Ave
Bethpage, NY 11714
Phone (516) 938-0100

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

14015 Sanford Ave
Flushing, NY 11355
Phone (718) 670-6400

5925 Kissena Blvd
Flushing, NY 11355
Phone (718) 280-9788

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: msadat1641407@nychhc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1639532021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH5-133 STEM",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH5-133 STEM",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-342-5525",
            "fax_number": "212-305-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072428",
            "country_code": "US",
            "telephone_number": "718-240-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117143596",
            "country_code": "US",
            "telephone_number": "516-948-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 W Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115811011",
            "country_code": "US",
            "telephone_number": "516-945-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14015 Sanford Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552686",
            "country_code": "US",
            "telephone_number": "718-670-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADAT",
        "first_name": "MOHAMMAD",
        "middle_name": "ABU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "290103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.