Individual provider Active NPI

Eric Sacks, LPN

  • Licensed Practical Nurse
  • Niagara Falls, NY
National Provider Identifier
1669000360
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
338548-01 Issued in NY
Practice address
6943 Christi LN
Niagara Falls, NY 14304-3001
Phone
(716) 957-4278
NPI assigned
Mar 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 338548-01 NY Primary
Licensed Practical Nurse 164W00000X P104934 NY

Addresses

Primary practice location

6943 Christi LN
Niagara Falls, NY 14304-3001

Mailing address

6943 Christi LN
Niagara Falls, NY 14304-3001
Phone (716) 957-4278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erock42674@outlook.com

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

State licenses

LicenseStateTypeSpecialty
338548-01NYMDLicensed Practical Nurse
P104934NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1669000360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6943 CHRISTI LN",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043001",
            "telephone_number": "716-957-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6943 CHRISTI LN",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043001",
            "telephone_number": "716-957-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "ERIC",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "338548-01",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "P104934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erock42674@outlook.com",
            "affiliation": "N",
            "address_1": "6943 Christi Ln",
            "city": "Niagara Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "143043001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.