Active NPI
Sandra Asiedu, NP
- Family Nurse Practitioner
- Bronx, NY
National Provider Identifier
1154088565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F348581
- Practice address
- 565 W 235TH St
Bronx, NY 10463-1650 - Phone
- (718) 543-2007
- NPI assigned
- Nov 19, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F348581 | NY | Primary |
Addresses
Primary practice location
565 W 235TH St
Bronx, NY 10463-1650
Mailing address
565 W 235TH St
Bronx, NY 10463-1650
Phone (718) 543-2007
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1727 Amsterdam Ave
New York, NY 10031-4611
1727 Amsterdam Ave FL
Suite 4
New York, NY 10031-4611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F348581 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Regional Community Health Centers Inc | Current | Accepting new patients | |
| Hudson Valley Regional Community Health Centers Inc | Current | Accepting new patients | |
| Harmony Medical Services of New York, PLLC | Current | Accepting new patients | |
| Heritage Health and Housing, Inc | Past | Accepting new patients |
Locations
15 Mount Ebo Rd S
Ste 1
Brewster, NY 10509
Phone (845) 278-6930
1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- sandra.asiedu.1@27852.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.
-
- Family Medicine Physician
- Whitestone, NY
- NPI 1669178448
-
- Clinic/Center
- Brewster, NY
- NPI 1477051589
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851414965
-
- Clinic/Center
- Poughkeepsie, NY
- NPI 1356840581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1154088565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 W 235TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104631650",
"telephone_number": "718-543-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 W 235TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104631650",
"telephone_number": "718-543-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASIEDU",
"first_name": "SANDRA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F348581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.