Active NPI
Sunandan A Pandya, MD
- Specialist
- Stony Point, NY
National Provider Identifier
1104897487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 232059
- Practice address
- 12 Liberty Square Mall
Stony Point, NY 10980-2400 - Phone
- (845) 942-1001
- Fax
- (845) 942-1431
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 232059 | NY | Primary |
Addresses
Primary practice location
12 Liberty Square Mall
Stony Point, NY 10980-2400
Mailing address
20 Grand Street, 3Rd FL
Warwick, NY 10990-1035
Phone (845) 942-1001
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0117159 | Other | NY | GHI PPO |
| 232059 | Other | NY | HIP |
| 000000111587 | Other | NY | GHI HMO |
| 133693126 | Other | NY | TAX ID # |
| 02883998 | Medicaid | NY | |
| 3949171 | Other | NY | AETNA HMO |
| 134SV1 | Other | NY | EMPIRE BC STONY POINT |
| 387708 | Other | NY | CONNECTICARE |
| P3697187 | Other | NY | OXFORD |
| 7757719 | Other | NY | AETNA PPO |
| 134SV2 | Other | NY | EMPIRE BC WEST NYACK |
| 228830 | Other | NY | US FAMILY HEALTH PLAN |
| 790824 | Other | NY | MVP/TACONIC IPA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Crosfield Ave
West Nyack, NY 10994-2226
Phone (845) 353-5600
Hospital & facility affiliations
- Good Samaritan Hospital of Suffern
- Helen Hayes Hospital
- Nyack Hospital
- Valley Hospital
- Bon Secours Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 87.82
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
-
dba Helen Hayes Hospital
- General Acute Care Hospital
- West Haverstraw, NY
- NPI 1063525442
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1104897487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GRAND STREET, 3RD FL",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901035",
"telephone_number": "845-942-1001",
"fax_number": "845-987-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LIBERTY SQUARE MALL",
"city": "STONY POINT",
"state": "NY",
"postal_code": "109802400",
"telephone_number": "845-942-1001",
"fax_number": "845-942-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDYA",
"first_name": "SUNANDAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "232059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "0117159",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "232059",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000111587",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "133693126",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02883998",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3949171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC STONY POINT",
"identifier": "134SV1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "387708",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3697187",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7757719",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC WEST NYACK",
"identifier": "134SV2",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US FAMILY HEALTH PLAN",
"identifier": "228830",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP/TACONIC IPA",
"identifier": "790824",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.