Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1265890396
Mordechai SacksPA-C
Active
NPI Number1265890396
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1265890396
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2016-02-03
Last Updated2019-02-15
Mailing Address1890 Palmer Ave, Ste 304
Larchmont, NY 10538-3031
United States
Phone: (914) 834-9606 | Fax: (914) 834-0648
📍 View Map
Primary Practice Address1890 Palmer Ave Ste 304
Larchmont, NY 10538-3031
United States
Phone: (914) 834-9606 | Fax: (914) 834-0648
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician Assistant--
Export Provider Record NPI 1265890396
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1265890396

Mordechai Sacks PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1265890396. The primary specialty listed is Physician Assistant. The provider is located in Larchmont, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-02-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1265890396?

NPI 1265890396 belongs to Mordechai Sacks PA-C, a Physician Assistant in Larchmont, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1265890396 active?

The current status of NPI 1265890396 in the NPPES registry is Active. The record was last updated on 2019-02-15.

What specialty is NPI 1265890396?

NPI 1265890396 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1265890396?

You can verify NPI 1265890396 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1265890396?

The primary practice address on file for NPI 1265890396 is 1890 Palmer Ave Ste 304, Larchmont, NY 10538-3031. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1265890396 issued?

NPI 1265890396 was first issued (enumerated) on 2016-02-03. The NPPES record was last updated on 2019-02-15.

Practice Location Map

Mordechai Sacks is located at 1890 Palmer Ave Ste 304, Larchmont, NY. Use the map below to find directions or verify the practice location.

📍 1890 Palmer Ave Ste 304, Larchmont, NY 10538-3031  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mordechai Sacks. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162