Organization Active NPI

Sara Medical Care PLLC

  • Internal Medicine Physician
  • Poughkeepsie, NY
National Provider Identifier
1750533147
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212062 Issued in NY
Legal business name
SARA MEDICAL CARE PLLC
Practice address
354 Main St
Poughkeepsie, NY 12601-3317
Phone
(917) 653-7428
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Amjad Iqbal, M.D.NPI 1629296223
Title
Chair Person
Phone
(917) 653-7428

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 212062 NY Primary

Addresses

Primary practice location

354 Main St
Poughkeepsie, NY 12601-3317

Mailing address

PO Box 663
Fishkill, NY 12524-0663
Phone (917) 653-7428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081205000077 NY Part B Supplier - Clinic/Group Practice 6608937925 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Katrine, NY; Poughkeepsie, NY

National Provider Directory

National Provider Directory

Locations

354 Main St
Poughkeepsie, NY 12601
Phone (845) 486-0420

Practitioners & affiliated clinicians

Practitioners 3

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1750533147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125240663",
            "telephone_number": "917-653-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013317",
            "telephone_number": "917-653-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "CHAIR PERSON",
        "authorized_official_telephone_number": "917-653-7428",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.