Active NPI
Fady Sadek, DMD
- Dentist
- Batavia, NY
National Provider Identifier
1952929143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062175
- Practice address
- 4660 Veterans Memorial Dr # F1
Batavia, NY 14020-1298 - Phone
- (585) 344-7006
- NPI assigned
- Jul 14, 2020
- Last updated
- Oct 29, 2021
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 062175 | NY | Primary |
Addresses
Primary practice location
4660 Veterans Memorial Dr # F1
Batavia, NY 14020-1298
Mailing address
105 Raleigh St
Rochester, NY 14620-4121
Phone (438) 830-0226
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062175 | NY | MD | Pharmacist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1952929143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 RALEIGH ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204121",
"telephone_number": "438-830-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 VETERANS MEMORIAL DR # F1",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201298",
"telephone_number": "585-344-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADEK",
"first_name": "FADY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-14",
"last_updated": "2021-10-29",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.