Individual provider Active NPI

Saeeda Anam, PA

  • Medical Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1639548464
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1199 Ocean Ave
Brooklyn, NY 11230-2042
Phone
(347) 962-2424
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1199 Ocean Ave
Brooklyn, NY 11230-2042

Mailing address

1199 Ocean Ave
Brooklyn, NY 11230-2042
Phone (347) 964-2424

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
I20160513000466 NY Practitioner - Physician Assistant 7618266768 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ras Med Management LLC Current Accepting new patients
Parcare Community Health Network Inc CurrentSince Apr 1, 2022 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Feb 24, 2016 Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

1199 Ocean Ave
Brooklyn, NY 11230
Phone (718) 859-7446

1199 Ocean Ave
Ste A
Brooklyn, NY 11230
Phone (718) 250-8320

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

Networks

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

Interoperability endpoints

  • Direct secure messaging: saeeda.anam.1@16093.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1639548464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302042",
            "telephone_number": "347-964-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302042",
            "telephone_number": "347-962-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAM",
        "first_name": "SAEEDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.