Provider Demographics
NPI:1356640239
Name:SAGAR, ANKITA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANKITA
Middle Name:
Last Name:SAGAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 NORTHERN BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5335
Mailing Address - Country:US
Mailing Address - Phone:516-622-5000
Mailing Address - Fax:
Practice Address - Street 1:420 BRIDGE PLAZA DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1735
Practice Address - Country:US
Practice Address - Phone:732-536-8008
Practice Address - Fax:732-536-8849
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267548207R00000X
NJ25MA11295900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine