Active NPI
Sandy Dimanche, RDMS
- Sonography Radiologic Technologist
- Queens Village, NY
National Provider Identifier
1083011621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 170664
- Practice address
- 11144 Francis Lewis Blvd
Queens Village, NY 11429-1751 - Phone
- (201) 397-0496
- NPI assigned
- Nov 25, 2014
- Last updated
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 170664 | NY | Primary |
Addresses
Primary practice location
11144 Francis Lewis Blvd
Queens Village, NY 11429-1751
Mailing address
11144 Francis Lewis Blvd
Queens Village, NY 11429-1751
Phone (201) 397-0496
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
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": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1083011621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11144 FRANCIS LEWIS BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114291751",
"telephone_number": "201-397-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11144 FRANCIS LEWIS BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114291751",
"telephone_number": "201-397-0496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMANCHE",
"first_name": "SANDY",
"credential": "RDMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NY",
"license": "170664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.