Sawkill Family Medical Associates PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAWKILL FAMILY MEDICAL ASSOCIATES PC

Practice address

501 Hurley Avenue
Hurley, NY 12443

Phone

(845) 339-4667

Fax

(845) 339-4668

NPI assigned

Dec 4, 2006

Last updated

Oct 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael L Safran, MDNPI 1407994916

Title

Owner

Phone

(845) 339-4667

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sawkill Family Medicine Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael L Safran, MD

  • Family Medicine Physician
  • Hurley, NY
  • NPI 1407994916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1700954906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HURLEY AVENUE",
            "city": "HURLEY",
            "state": "NY",
            "postal_code": "12443",
            "telephone_number": "845-339-4667",
            "fax_number": "845-339-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HURLEY AVENUE",
            "city": "HURLEY",
            "state": "NY",
            "postal_code": "12443",
            "telephone_number": "845-339-4667",
            "fax_number": "845-339-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWKILL FAMILY MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "SAFRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-339-4667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "5395",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "52284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sawkill Family Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sawkill Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ann Pisano, M.S.EDU.
• Carl E Polinsky, RPH
• Karen Rich
• Michael L Safran, MD
• Eileen Beth Sandler, M.A.
• Jodie Sleed, RN
• Kerri Sullivan, PT
• Donna D Trast, RN, BSN, CDE, CPT
• Kalah L Williams-Matthews, CNM, RN
• Deborah A. Winne, M.S.ED.

• Family Medicine Physician in Hurley, NY
• Providers in Hurley, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.