NPIMap

Organization Active NPI

SPS Medical PC

  • Internal Medicine Physician
  • Bethpage, NY
National Provider Identifier
1871634253
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210715 Issued in NY
Legal business name
SPS MEDICAL PC
Practice address
4250 Hempstead Tpke
Suiite 19
Bethpage, NY 11714
Phone
(516) 735-5522
Fax
(516) 644-5385
NPI assigned
Feb 9, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Prem L Sagar, M.D.NPI 1144285479
Title
Owner
Phone
(516) 735-5522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210715 NY Primary
Nephrology Physician 207RN0300X 202133 NY

Addresses

Primary practice location

4250 Hempstead Tpke
Suiite 19
Bethpage, NY 11714

Mailing address

141 Melanie Dr
East Meadow, NY 11554-1436
Phone (516) 735-5522

Other identifiers 2

IdentifierTypeStateIssuer
01919259MedicaidNY
DC2627OtherNYRAILROAD MEDICARE GROUP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1871634253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MELANIE DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541436",
            "telephone_number": "516-735-5522",
            "fax_number": "516-644-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUIITE 19",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "11714",
            "telephone_number": "516-735-5522",
            "fax_number": "516-644-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SAGAR",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-735-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210715",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "202133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01919259",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DC2627",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.