Active NPI
Antonio Sahagun Jr., PA
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1942506910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 012133-1
- Practice address
- 347 Stockholm Street
Brooklyn, NY 11237 - Phone
- (718) 907-8370
- NPI assigned
- Feb 8, 2011
- Last updated
- Feb 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 012133-1 | NY | Primary |
Addresses
Primary practice location
347 Stockholm Street
Brooklyn, NY 11237
Mailing address
840 E Meadow Ave
East Meadow, NY 11554-5231
Phone (516) 225-5073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012133-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1942506910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 E MEADOW AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115545231",
"telephone_number": "516-225-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 STOCKHOLM STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11237",
"telephone_number": "718-907-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHAGUN",
"first_name": "ANTONIO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012133-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.