Individual provider Active NPI

Nasem James Sayegh, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Yonkers, NY
National Provider Identifier
1720043920
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
148454 Issued in NY
Practice address
102 Park Ave
Yonkers, NY 10703-2934
Phone
(914) 965-4300
Fax
(914) 965-7625
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 148454 NY Primary

Addresses

Primary practice location

102 Park Ave
Yonkers, NY 10703-2934

Mailing address

102 Park Ave
Yonkers, NY 10703-2934
Phone (914) 965-4300

Other identifiers 1

IdentifierTypeStateIssuer
01019209MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080617000783 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 6002987112 Reassigns benefits to 2 organizations
Practice locations: Elmsford, NY
I20240909001733 NY Practitioner - Internal Medicine 6002987112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
St Joseph'S Medical Practice PCGroup PAC ID 5597901868, 28 clinicians

Practice addresses (Care Compare)

102 Park Ave
Suite 1
Yonkers, NY 10703-2905
Phone (914) 965-4300

160 S Central Ave
Elmsford, NY 10523-3521
Phone (914) 760-0309

Hospital & facility affiliations

  • St Joseph'S Medical Center Hospital, Yonkers, NY, CCN 330006
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
148454NYMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph'S Medical Practice PC CurrentSince May 1, 2023 Accepting new patients
Park Avenue Medical Family & Geriatrics,P.C. Past Accepting new patients

Locations

3050 Corlear Ave
Ste 201
Bronx, NY 10463
Phone (718) 543-2700

102 Park Ave
Yonkers, NY 10703
Phone (914) 376-3770

102 Park Ave
Ste 1
Yonkers, NY 10703
Phone (914) 965-4300

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJJACA

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1720043920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032934",
            "telephone_number": "914-965-4300",
            "fax_number": "914-965-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032934",
            "telephone_number": "914-965-4300",
            "fax_number": "914-965-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYEGH",
        "first_name": "NASEM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "148454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01019209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.