Active NPI
Gianna Sarantos, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1811583883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025757
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (212) 434-2000
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025757 | NY | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
770 Jackson St Apt 1212
Hoboken, NJ 07030-6980
Phone (732) 947-2884
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025757 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1811583883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 JACKSON ST APT 1212",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070306980",
"telephone_number": "732-947-2884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARANTOS",
"first_name": "GIANNA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.