Provider Demographics
NPI:1336254416
Name:SACHS, RONALD (MD)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:SACHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SADDLE RD
Mailing Address - Street 2:STE 201
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-1902
Mailing Address - Country:US
Mailing Address - Phone:973-539-3600
Mailing Address - Fax:973-539-7576
Practice Address - Street 1:8 SADDLE RD
Practice Address - Street 2:STE 201
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-1902
Practice Address - Country:US
Practice Address - Phone:973-539-3600
Practice Address - Fax:973-539-7576
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58749207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5459001Medicaid
NJ5459001Medicaid
NJF22003Medicare UPIN