Individual provider Active NPI

Ravi Saksena, M.D.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1871885624
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
260333 Issued in NY
Practice address
313 E 89TH St
Apt. 4G
New York, NY 10128-5040
Phone
(203) 561-2940
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 260333 NY Primary

Addresses

Primary practice location

313 E 89TH St
Apt. 4G
New York, NY 10128-5040

Mailing address

313 E. 89TH Street
Apt. 4G
New York, NY 10128
Phone (203) 561-2940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000631 NY Practitioner - Pediatric Medicine 9335311729 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MMC Pediatrics Faculty Practice Pediatrics CurrentSince Aug 13, 2017 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Sep 1, 2011 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Hai T Cao, MD PC Past Accepting new patients

Locations

4802 10th Ave
Fl 3
Brooklyn, NY 11219
Phone (718) 283-6157

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Interoperability endpoints

  • Direct secure messaging: ravisaksena@mai.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1871885624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E. 89TH STREET",
            "address_2": "APT. 4G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "203-561-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 89TH ST",
            "address_2": "APT. 4G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285040",
            "telephone_number": "203-561-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKSENA",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "260333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.