Robin Sacks, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006122 Issued in NY

Practice address

17 Main St
Queensbury, NY 12804-4007

Phone

(518) 798-0767

Fax

(518) 798-0815

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Eugene K. Merecki, MD PC

  • Primary Care Clinic/Center
  • Ballston Spa, NY
  • NPI 1962527630
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1932167673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128044007",
            "telephone_number": "518-798-0767",
            "fax_number": "518-798-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128044007",
            "telephone_number": "518-798-0767",
            "fax_number": "518-798-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "ROBIN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02184274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Round
• Giovanna L Rovetto-Dean, LCSW-R
• Patrick Rowley, M.D.
• Jacob Rychcik, DPT
• Daniel J Sablich, M.D.
• Brahmananda Sagunarthy, DDS
• Shirley Kathryn Salerno, LPN
• Sarah Laskey Salvatore, DPT
• Elizabeth Karen Samenfeld-Specht, LMFT
• Sampson Optical Corp

• Physician Assistant in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.