Individual provider Active NPI

Renata Sanders, M.D.

  • Psychiatry Physician
  • Hewlett, NY
National Provider Identifier
1063686467
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
264276 Issued in NY
Practice address
1229 Broadway
Hewlett, NY 11557-2014
Phone
(917) 355-0312
NPI assigned
Apr 16, 2008
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 264276 NY Primary

Addresses

Primary practice location

1229 Broadway
Hewlett, NY 11557-2014

Mailing address

1229 Broadway
Hewlett, NY 11557-2014
Phone (917) 355-0312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000000 NY Practitioner - Psychiatry 8628234135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renata Sanders MD PLLCGroup PAC ID 3577877737, 2 clinicians

Practice addresses (Care Compare)

445 Central Ave
Unit 331
Cedarhurst, NY 11516-2031
Phone (516) 304-8020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
264276NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renata Sanders MD PLLC Psychiatry CurrentSince Jan 1, 2015 Accepting new patients

Locations

445 Central Ave
Unit 331
Cedarhurst, NY 11516
Phone (516) 304-8020

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1063686467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572014",
            "telephone_number": "917-355-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572014",
            "telephone_number": "917-355-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RENATA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "264276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.