Organization Active NPI

Michael Sacher DO PC

  • Specialist
  • Massapequa, NY
National Provider Identifier
1922009893
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
144143 Issued in NY
Legal business name
MICHAEL SACHER DO PC
Practice address
100 Veterans Blvd
Massapequa, NY 11758-4944
Phone
(516) 882-9600
Fax
(516) 882-9605
NPI assigned
Aug 2, 2005
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Mrs. Jamie Sacher
Title
Practice Admistrator
Phone
(516) 882-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 144143 NY Primary

Addresses

Primary practice location

100 Veterans Blvd
Massapequa, NY 11758-4944

Mailing address

100 Veterans Blvd
Massapequa, NY 11758-4944
Phone (516) 882-9600

Other identifiers 1

IdentifierTypeStateIssuer
00814966MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928001088 NY Part B Supplier - Clinic/Group Practice 6901875764 Receives reassigned benefits from 1 practitioner
Practice locations: Massapequa, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1026347Michael L Sacher DO PC100 Veterans Boulevard, Suite 1 a, Massapequa, NY 11758Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory

Locations

100 Veterans Blvd
Massapequa, NY 11758
Phone (516) 674-0066

Practitioners & affiliated clinicians

Practitioners 6

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": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1922009893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VETERANS BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584944",
            "telephone_number": "516-882-9600",
            "fax_number": "516-882-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584944",
            "telephone_number": "516-882-9600",
            "fax_number": "516-882-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SACHER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "SACHER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRACTICE ADMISTRATOR",
        "authorized_official_telephone_number": "516-882-9600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "144143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00814966",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.