Individual provider Active NPI

Mandy Lauren Sacher, D.O.

  • Family Medicine Physician
  • Glen Ridge, NJ
National Provider Identifier
1104083567
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB11098500 Issued in NJ
Practice address
200 Highland Ave Ste 100B
Glen Ridge, NJ 07028-1521
Phone
(973) 969-3800
Fax
(833) 488-1213
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB11098500 NJ Primary

Addresses

Primary practice location

200 Highland Ave Ste 100B
Glen Ridge, NJ 07028-1521

Mailing address

271 Grove Ave Ste E
Verona, NJ 07044-1730
Phone (973) 559-3700

Other practice location 1

271 Grove Ave Ste A
Verona, NJ 07044-1731
Phone (973) 239-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120306000737 NY Practitioner - Family Practice 9739348053 Reassigns benefits to 1 organization
I20211215002732 NJ Practitioner - Family Practice 9739348053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanguard Medical Group PAGroup PAC ID 5092751842, 59 clinicians

Practice addresses (Care Compare)

200 Highland Ave
Suite 100B
Glen Ridge, NJ 07028-1521
Phone (973) 969-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB11098500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Sep 15, 2015 Accepting new patients
Vanguard Medical Group, PA Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2015 Accepting new patients
Primary Care for the Homebound PA Family Medicine Current Accepting new patients

Locations

200 Highland Ave
Ste 100B
Glen Ridge, NJ 07028
Phone (973) 969-3800

271 Grove Ave
Ste E
Verona, NJ 07044
Phone (973) 559-3700

271 Grove Ave
Ste A
Verona, NJ 07044
Phone (973) 239-2600

135 N 7th St
Brooklyn, NY 11249
Phone (718) 218-0450

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mandy.sacher.1@25493.direct.athenahealth.com

Organizations & group practices 4

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1104083567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 GROVE AVE STE E",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441730",
            "telephone_number": "973-559-3700",
            "fax_number": "833-484-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND AVE STE 100B",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281521",
            "telephone_number": "973-969-3800",
            "fax_number": "833-488-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 Grove Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070441731",
            "country_code": "US",
            "telephone_number": "973-239-2600",
            "fax_number": "822-495-1921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACHER",
        "first_name": "MANDY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11098500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.