David J Sacrestano (NPI# 1700062635, PAC ID# 3779736921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1700062635 |
| PAC ID by PECOS | 3779736921 |
| Professional Enrollment ID | I20130122000021 |
| Full Name | David J Sacrestano |
| Organization Legal Name | COMPREHENSIVE PODIATRIC CARE LLC |
| Address |
935 Northern Blvd Suite 107 Great Neck NY 11021-5309 |
| Phone Number | 5166275775 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8628968989 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| Address | Phone | Organization |
|---|---|---|
| 935 Northern Blvd, Suite 107, Great Neck, NY 11021-5309 | 5166275775 | COMPREHENSIVE PODIATRIC CARE LLC |
| 154 Mineola Blvd, Mineola, NY 11501-3981 | 5167462059 | COMPREHENSIVE PODIATRIC CARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | COMPREHENSIVE PODIATRIC CARE LLC |
| Physicians | 1 |
| Street Address |
935 NORTHERN BLVD SUITE 107 |
| City | GREAT NECK |
| State | NY |
| Zip | 11021-5309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Idida Kaplan | Ophthalmology | 935 Northern Blvd, Suite 204, Great Neck, NY 11021-5327 | |
| Shahram Daniel Shamekh | Internal Medicine | Advanced Internal Medicine PC | 935 Northern Blvd, Suite 105, Great Neck, NY 11021-5309 |
| Mahtab Soleimanzadeh | Registered Dietitian Or Nutrition Professional | Nutritional Counseling Dietetics Associates Pllc | 935 Northern Blvd, Suite 105, Great Neck, NY 11021-5309 |
| Sony Khemlani-patel | Psychologist, Clinical | Bio Behavioral Psychology P.C. | 935 Northern Blvd, Suite 102, Great Neck, NY 11021-5309 |
| Michael G Upston | Clinical Social Worker | Bio Behavioral Psychology P.C. | 935 Northern Blvd, Suite 102, Great Neck, NY 11021-5309 |
| Su I D Huang | Plastic and Reconstructive Surgery | 935 Northern Blvd, Suite 103, Great Neck, NY 11021-5309 | |
| Asal Hakim | Registered Dietitian Or Nutrition Professional | Nutritional Counseling Dietetics Associates Pllc | 935 Northern Blvd, Suite 105, Great Neck, NY 11021-5309 |
| Matthew Jacofsky | Psychologist, Clinical | Bio Behavioral Psychology P.C. | 935 Northern Blvd, Suite 102, Great Neck, NY 11021-5309 |
| Yvette Fruchter | Psychologist, Clinical | Bio Behavioral Psychology P.C. | 935 Northern Blvd, Suite 102, Great Neck, NY 11021-5309 |
| Prajoy P Kadkade | Otolaryngology | 935 Northern Blvd, Suite 103, Great Neck, NY 11021-5309 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor J Defazio | Psychologist, Clinical | 10 Grave Ave, Suite 9, Great Neck, NY 11021 | |
| Philip M Ninan | Psychiatry | 935 Northern Boulevard, Suite 102, Great Neck, NY 11021 | |
| Jerelyn R Marcus | Optometry | 93 Bayview Ave, Great Neck, NY 11021-1015 | |
| Daniel Aryeh | Physical Therapy | 200 Middle Neck Rd, Suite H, Great Neck, NY 11021-1107 | |
| Helen Beegel | Clinical Social Worker | 160 Middle Neck Rd, Apt 3b, Great Neck, NY 11021-1207 | |
| Rosalie L Feder | Clinical Social Worker | 134 Middleneck Rd, Great Neck, NY 11021-1224 | |
| Mitchell Siegel | Podiatry | 32 Maple Dr, Great Neck, NY 11021-1240 | |
| Eleonora Tamayeva | Optometry | Great Neck Optometrist PC | 146 Middle Neck Rd, Great Neck, NY 11021-1246 |
| Kioomars Moosazadeh | Physical Medicine and Rehabilitation | 140 Middle Neck Rd, Great Neck, NY 11021-1246 | |
| Ebrahim Sadighim | Internal Medicine | 138 Middle Neck Rd, Great Neck, NY 11021-1246 | |
| Find all physicians in zip 11021 | |||
| City | GREAT NECK |
| Zip Code | 11021 |
| Specialty | PODIATRY |
| City + Specialty | GREAT NECK + PODIATRY |
Please comment or provide details below to improve the information on David J Sacrestano.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.