Individual provider Active NPI

Sara Weingarten, DDS

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1982167698
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
063072 Issued in NY
Practice address
1808 Crotona Pkwy
Bronx, NY 10460-1581
Phone
(728) 484-3338
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02808000 NJ
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 063072 NY Primary

Addresses

Primary practice location

1808 Crotona Pkwy
Bronx, NY 10460-1581

Mailing address

2-02 Lyons Ave
Fair Lawn, NJ 07410-1157
Phone (201) 803-5314

Other practice location 1

728 N Main St
New Square, NY 10977-8916
Phone (201) 803-5314

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112003367 NY Practitioner - Dentist 5698126779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02808000NJMDGeneral Practice Dentistry
063072NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center, Inc. CurrentSince Dec 4, 2023 Accepting new patients
Refuah Health Center Inc CurrentSince Dec 4, 2023 Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249

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.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1982167698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-02 LYONS AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101157",
            "telephone_number": "201-803-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 CROTONA PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601581",
            "telephone_number": "728-484-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 N Main St",
            "address_purpose": "LOCATION",
            "city": "New Square",
            "state": "NY",
            "postal_code": "109778916",
            "country_code": "US",
            "telephone_number": "201-803-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINGARTEN",
        "first_name": "SARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02808000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.