Provider Demographics
NPI:1619318482
Name:SACHS, DARREN BRYON (DO)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:BRYON
Last Name:SACHS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3016 30TH DR STE 3B
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-1890
Mailing Address - Country:US
Mailing Address - Phone:718-626-0707
Mailing Address - Fax:718-545-0333
Practice Address - Street 1:1060 5TH AVE # 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0104
Practice Address - Country:US
Practice Address - Phone:212-256-9588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS019383208600000X
NJ25MB10962800208600000X, 2086X0206X
NY293213208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ14229422OtherCAQH ID
NJ0863131Medicaid