Individual provider Active NPI

Jakob Saidman

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1942797212
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
327607 Issued in NY
Practice address
178 E 85TH St FL 4
New York, NY 10028-2119
Phone
(212) 434-6776
NPI assigned
Apr 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 327607 NY Primary

Addresses

Primary practice location

178 E 85TH St FL 4
New York, NY 10028-2119

Mailing address

100 E 77TH St FL 2
New York, NY 10075-1850
Phone (914) 493-3554

Other practice location 1

125 Community Dr Ste 100
Great Neck, NY 11021-5502
Phone (516) 504-3956

Other practice location 2

100 E 77th St
New York, NY 10075-1850
Phone (212) 434-3427

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
I20240827002525 NY Practitioner - Gastroenterology 7113254384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

178 E 85TH St
FL 4
New York, NY 10028-2119
Phone (212) 434-3950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327607NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 16, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 16, 2024 Accepting new patients

Locations

125 Community Dr
Ste 100
Great Neck, NY 11021
Phone (516) 207-7798

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

100 E 77th St
Fl 2
New York, NY 10075
Phone (212) 434-2172

178 E 85th St
Fl 4
New York, NY 10028
Phone (212) 288-2278

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jsaidman65607@northwell.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1942797212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "914-493-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E 85TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282119",
            "telephone_number": "212-434-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Community Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215502",
            "country_code": "US",
            "telephone_number": "516-504-3956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E 77th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751850",
            "country_code": "US",
            "telephone_number": "212-434-3427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAIDMAN",
        "first_name": "JAKOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-21",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "327607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.