Provider Demographics
NPI:1366411233
Name:SARDI, VINCENT F (MD)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:F
Last Name:SARDI
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 1:360 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1863
Mailing Address - Country:US
Mailing Address - Phone:215-757-6200
Mailing Address - Fax:215-750-7875
Practice Address - Street 1:360 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 402
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1863
Practice Address - Country:US
Practice Address - Phone:215-757-6200
Practice Address - Fax:215-750-7875
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05351700207W00000X
PAMD046344E207W00000X
PAMD045344E207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ480618UJHOtherMEDICARE NUMBER
PA612524FGUOtherMEDICARE NUMBER
NJ2113201Medicaid
PA0126179005Medicaid
PA612524F6MMedicare PIN
NJ480618UJHOtherMEDICARE NUMBER