Individual provider Active NPI

Sara Safdar, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1649543653
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
265889 Issued in NY
Practice address
731 Coney Island Ave
Brooklyn, NY 11218
Phone
(347) 322-2284
Fax
(718) 693-7770
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 265889 NY Primary

Addresses

Primary practice location

731 Coney Island Ave
Brooklyn, NY 11218

Mailing address

171 Stratford N
Roslyn Heights, NY 11577-2343
Phone (347) 322-2284

Other practice location 1

408 N State Of Franklin Rd
Suite 24
Johnson City, TN 37604-6089
Phone (423) 431-1810

Other identifiers 1

IdentifierTypeStateIssuer
04019132MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150119000340 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 1951531730 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Gondal Medical Care P.C. Internal Medicine CurrentSince Apr 27, 2015 Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarasafdar@mai.allscriptsdirect.net

Organizations & group practices 3

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1649543653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 STRATFORD N",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772343",
            "telephone_number": "347-322-2284",
            "fax_number": "718-693-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "347-322-2284",
            "fax_number": "718-693-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 N State Of Franklin Rd",
            "address_2": "Suite 24",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046089",
            "country_code": "US",
            "telephone_number": "423-431-1810",
            "fax_number": "423-431-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFDAR",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04019132",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.