Organization Active NPI

Scott Sanders MD PLLC

  • Dermatopathology Physician
  • New City, NY
National Provider Identifier
1053738807
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
2182761 Issued in NY
Legal business name
SCOTT SANDERS MD PLLC
Practice address
301 N Main St
Suite 3
New City, NY 10956-4021
Phone
(845) 499-2017
Fax
(845) 499-2018
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott E Sanders, M.D.NPI 1780670927
Title
Ceo
Phone
(845) 499-2017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X 2182761 NY Primary

Addresses

Primary practice location

301 N Main St
Suite 3
New City, NY 10956-4021

Mailing address

301 N Main St
Suite 3
New City, NY 10956-4021
Phone (845) 499-2017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140721001937 NY Part B Supplier - Clinic/Group Practice 7618193038 Receives reassigned benefits from 9 practitioners
Practice locations: New City, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2076613Scott Sanders MD PLLC301 North Main Street, Suite 3 and 4, New City, NY 10956ComplianceDec 8, 2026

National Provider Directory

National Provider Directory

Locations

301 N Main St
Ste 3
New City, NY 10956
Phone (845) 499-2017

301 N Main St
Ste 4
New City, NY 10956
Phone (845) 499-2017

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1053738807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564021",
            "telephone_number": "845-499-2017",
            "fax_number": "845-499-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564021",
            "telephone_number": "845-499-2017",
            "fax_number": "845-499-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT SANDERS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-499-2017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "2182761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.