Active NPI
Sandra Carrera, M.D.
- Pediatrics Physician
- Sunnyside, NY
National Provider Identifier
1003136243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 258060
- Practice address
- 4224 Greenpoint Ave
Sunnyside, NY 11104-3004 - Phone
- (718) 482-6814
- NPI assigned
- Jun 10, 2010
- Last updated
- Sep 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 258060 | NY | Primary |
Addresses
Primary practice location
4224 Greenpoint Ave
Sunnyside, NY 11104-3004
Mailing address
13705 249TH St
Rosedale, NY 11422-2241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258060 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carla Lucacel MD PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1003136243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13705 249TH ST",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 GREENPOINT AVE",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043004",
"telephone_number": "718-482-6814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERA",
"first_name": "SANDRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "258060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.