Active NPI
Isaac E Sasson, MD PHD
- Reproductive Endocrinology Physician
- Rockville, MD
National Provider Identifier
1679741268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD436246
- Practice address
- 15001 Shady Grove Rd Ste 340
Rockville, MD 20850-6357 - Phone
- (301) 340-6478
- NPI assigned
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | MD436246 | PA | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | D74003 | MD | |
| Reproductive Endocrinology Physician | 207VE0102X | 25MA08682200 | NJ |
Addresses
Primary practice location
15001 Shady Grove Rd Ste 340
Rockville, MD 20850-6357
Mailing address
303 Bangor Rd
Bala Cynwyd, PA 19004-2803
Phone (203) 887-7828
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D74003 | MD | MD | Reproductive Endocrinology Physician |
| 25MA08682200 | NJ | MD | Reproductive Endocrinology Physician |
| MD436246 | PA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shady Grove Reproductive Science Center PC | Past | Accepting new patients | |
| Shady Grove Fertility Center of Pennsylvania PLC | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba SGFC Surgery Center
- Ambulatory Surgical Clinic/Center
- Rockville, MD
- NPI 1437232758
-
- Reproductive Endocrinology Physician
- Chesterbrook, PA
- NPI 1922353366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1679741268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 BANGOR RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042803",
"telephone_number": "203-887-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15001 SHADY GROVE RD STE 340",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506357",
"telephone_number": "301-340-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASSON",
"first_name": "ISAAC",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-15",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "PA",
"license": "MD436246",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MD",
"license": "D74003",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NJ",
"license": "25MA08682200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.