Individual provider Active NPI

Sarah Rachel Ovadia, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1669983615
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021535 Issued in NY
Practice address
9921 4TH Ave
Brooklyn, NY 11209-8351
Phone
(718) 833-7616
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 021535 NY Primary

Addresses

Primary practice location

9921 4TH Ave
Brooklyn, NY 11209-8351

Mailing address

9921 4TH Ave
Brooklyn, NY 11209-8351
Phone (718) 833-7616

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
I20220816001677 NY Practitioner - Physician Assistant 9234474230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York Downstate Medical Center, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Ridge Skin and Cancer Dermatology PCGroup PAC ID 0648209882, 3 clinicians

Practice addresses (Care Compare)

9921 4TH Ave
Brooklyn, NY 11209-8351
Phone (718) 833-7616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: sarah.ovadiah.p1@direct.ezramedical.nextgenshare.com

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1669983615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098351",
            "telephone_number": "718-833-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098351",
            "telephone_number": "718-833-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVADIA",
        "first_name": "SARAH",
        "middle_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.