Individual provider Active NPI

Sandra D Lithgow, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1205933033
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
202718 Issued in NY
Practice address
MMC - Dept of Medicine
1575 Blondell Avenue
Bronx, NY 10461
Phone
(866) 633-8255
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 202718 NY Primary

Addresses

Primary practice location

MMC - Dept of Medicine
1575 Blondell Avenue
Bronx, NY 10461

Mailing address

213 Country Ridge Dr
Rye Brook, NY 10573-1003
Phone (866) 633-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 23, 2015 through Mar 23, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202718NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Sports Medicine PC CurrentSince Nov 19, 2016 Accepting new patients

Locations

7 Riversville Rd
Greenwich, CT 06831
Phone (203) 531-1808

Interoperability endpoints

  • Direct secure messaging: sandra.lithgow.1@28835.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205933033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 COUNTRY RIDGE DR",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731003",
            "telephone_number": "866-633-8255",
            "fax_number": "718-405-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC - DEPT OF MEDICINE",
            "address_2": "1575 BLONDELL AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "866-633-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITHGOW",
        "first_name": "SANDRA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "202718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.