Sandra Jean Hughes, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

249465 Issued in NY

Practice address

115 Main St Ste 301
Tuckahoe, NY 10707-2949

Phone

(914) 771-7070

Fax

(914) 771-7073

NPI assigned

May 8, 2008

Last updated

Apr 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sandra Jean Petty Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sandra.hughes.1@32321.direct.athenahealth.com
• Direct secure messaging: sandra.petty.p1@direct.ezramedical.nextgenshare.com
• Direct secure messaging: sandrapetty@mai.allscriptsdirect.net

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.

• Park Avenue Pediatrics, P.C.

  dba PArk Avenue Health CEnter

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1699969543
  Medicare reassignment NPD
• Refuah Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1669470019
  Medicare reassignment NPD
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Refuah Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Liberty, NY
  • NPI 1942903588
  NPD
• Boston Children's Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  NPD (past)
• Village Pediatric Group PLLC

  • Pediatrics Physician
  • Tuckahoe, NY
  • NPI 1861626210
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1124295159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N GRANT AVE",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201935",
            "telephone_number": "910-393-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST STE 301",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072949",
            "telephone_number": "914-771-7070",
            "fax_number": "914-771-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "249465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "PETTY",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank Graziano
• Jeanette N Green, LPN
• Alan Jay Guber, D.M.D.
• Mariana Gutierrez, RN
• Hudson Psychology Associates, LLP
• Cindy S. Hyatt, LCSW
• Ardith Inlaw
• Nicholas Vincent Isabella III, L.AC.
• Monique Johnson, LCSW
• Jonathan David, MD, PC

• Pediatrics Physician in Tuckahoe, NY
• Providers in Tuckahoe, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.