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Physician Compare National (NPI:1922057397)

HEALTHCARE PROVIDER: SAKA ARMIDE KAZEEM M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1922057397
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6901842202
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050707000830
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KAZEEM
Individual professional last name
Provider First Name SAKA
Individual professional first name
Provider Middle Name ARAMIDE
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1985
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 ENDOCRINOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties ENDOCRINOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 910 PARK PL
Group Practice or individual's line 1 address
Line 2 Street Address APT 1B
Group Practice or individual's line 2 address
City BROOKLYN
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 112164013
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 330201
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 KINGSBROOK JEWISH MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 330236
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 NEW YORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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