Individual provider Active NPI

Sandra Zawadka, DPM

  • Foot Surgery Podiatrist
  • Manhasset, NY
National Provider Identifier
1164050704
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N007256 Issued in NY
Practice address
535 Plandome Rd # 2
Manhasset, NY 11030-1974
Phone
(516) 365-5544
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot Surgery Podiatrist 213ES0131X N007256 NY Primary

Addresses

Primary practice location

535 Plandome Rd # 2
Manhasset, NY 11030-1974

Mailing address

PO Box 356
Syosset, NY 11791-0356
Phone (347) 383-8607

Other practice location 1

26910 Grand Central Pkwy Ste 4
Floral Park, NY 11005-1045
Phone (718) 229-1144

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906002763 NY Practitioner - Podiatry 5496119695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Patchogue Podiatry PCGroup PAC ID 2668502527, 4 clinicians

Practice addresses (Care Compare)

285 Sills Rd
BLDG 17
East Patchogue, NY 11772-4808
Phone (631) 654-5566

Hospital & facility affiliations

  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of skin lesions1-10
Removal of nail tissue1036
Removal or shaving of skin growth292
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007256NYMDChiropractor
N007256NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Patchogue Podiatry P.C. Foot Surgery CurrentSince Aug 1, 2023 Accepting new patients
North Shore Podiatry, PC Foot Surgery Past Accepting new patients

Locations

283 Commack Rd
Ste 125
Commack, NY 11725
Phone (631) 335-3412

285 Sills Rd
Bldg 17
East Patchogue, NY 11772
Phone (631) 654-5566

976 Roanoke Ave
Riverhead, NY 11901
Phone (631) 381-0201

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1164050704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910356",
            "telephone_number": "347-383-8607",
            "fax_number": "763-445-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD # 2",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301974",
            "telephone_number": "516-365-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26910 Grand Central Pkwy Ste 4",
            "address_purpose": "LOCATION",
            "city": "Floral Park",
            "state": "NY",
            "postal_code": "110051045",
            "country_code": "US",
            "telephone_number": "718-229-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAWADKA",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N007256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.