Organization Active NPI

Sai Nysha LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1881048114
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
28885 Issued in SC
Legal business name
SAI NYSHA LLC
Practice address
3803 Pga Blvd
Palm Beach Gardens, FL 33410-2720
Phone
(561) 746-2033
Fax
(561) 744-5349
NPI assigned
Apr 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Sandhya Pattem, MD
Title
Owner
Phone
(914) 318-1654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 28885 SC Primary

Addresses

Primary practice location

3803 Pga Blvd
Palm Beach Gardens, FL 33410-2720

Mailing address

175 Toney Penna Dr Ste 101
Jupiter, FL 33458-5747
Phone (914) 318-1654

Other practice location 1

175 Toney Penna Dr Ste 101
Jupiter, FL 33458-5747
Phone (561) 746-2033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1881048114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR STE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585747",
            "telephone_number": "914-318-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 PGA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102720",
            "telephone_number": "561-746-2033",
            "fax_number": "561-744-5349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Toney Penna Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334585747",
            "country_code": "US",
            "telephone_number": "561-746-2033",
            "fax_number": "561-744-5349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAI NYSHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-23",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "PATTEM",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-318-1654",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "28885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.