Organization Active NPI

Sassifeet LLC

  • Foot & Ankle Surgery Podiatrist
  • Lighthouse Point, FL
National Provider Identifier
1730698812
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SASSIFEET LLC
Practice address
2100 NE 36TH St Ste 203
Lighthouse Point, FL 33064
Phone
(954) 812-3683
NPI assigned
Sep 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
Dr. Michael Sassine, DPMNPI 1487050969
Title
Authorized Official/Owner
Phone
(954) 812-3683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

2100 NE 36TH St Ste 203
Lighthouse Point, FL 33064

Mailing address

2100 NE 36TH St
Ste 203
Lighthouse Point, FL 33064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180418000194 FL Part B Supplier - Clinic/Group Practice 4789947177 Receives reassigned benefits from 1 practitioner
Practice locations: Lighthouse Point, FL

National Provider Directory

National Provider Directory

Locations

2100 NE 36th St
Ste 203
Lighthouse Point, FL 33064
Phone (954) 782-3170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1730698812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NE 36TH ST",
            "address_2": "STE 203",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "33064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE 36TH ST STE 203",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-812-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASSIFEET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "SASSINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "954-812-3683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.