Individual provider Active NPI

Greg Sandler

  • Student in an Organized Health Care Education/Training Program
  • Staten Island, NY
National Provider Identifier
1073851580
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2795 Richmond Ave
Staten Island, NY 10314-5866
Phone
(718) 761-9800
NPI assigned
Jan 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2795 Richmond Ave
Staten Island, NY 10314-5866

Mailing address

5945 Shore Pkwy Apt 8I
Brooklyn, NY 11236-5726
Phone (917) 576-8057

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912001057 NY Practitioner - Clinical Social Worker 8426344813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jun 19, 2016 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Jun 19, 2016 Accepting new patients
Jewish Board for Family and Children Services Past Accepting new patients

Locations

9435 Ridge Blvd
Brooklyn, NY 11209
Phone (718) 238-6441

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

9201 4th Ave
Brooklyn, NY 11209
Phone (718) 748-1234

2795 Richmond Ave
Staten Island, NY 10314
Phone (718) 982-6982

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1073851580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 SHORE PKWY APT 8I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365726",
            "telephone_number": "917-576-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145866",
            "telephone_number": "718-761-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "GREG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.