Individual provider Active NPI

Sanford L Taffet, M.D.

  • Specialist
  • New Rochelle, NY
National Provider Identifier
1215002035
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
132612 Issued in NY
Practice address
140 Lockwood Ave
New Rochelle, NY 10801-4915
Phone
(914) 636-5222
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 132612 NY Primary

Addresses

Primary practice location

140 Lockwood Ave
New Rochelle, NY 10801-4915

Mailing address

140 Lockwood Ave
New Rochelle, NY 10801-4915
Phone (914) 636-5222

Other identifiers 1

IdentifierTypeStateIssuer
00718401MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000555 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2769539154 Reassigns benefits to 2 organizations
Practice locations: Mount Vernon, NY; New Rochelle, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132612NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore New Rochelle Hospital CurrentSince Nov 6, 2013 Accepting new patients
Montefiore Mount Vernon Hospital CurrentSince Nov 6, 2013 Accepting new patients
Private Doctor'S Office PastSince Sep 23, 1977 Accepting new patients

Locations

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

140 Lockwood Ave
Ste 110
New Rochelle, NY 10801
Phone (914) 636-5222

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

Organizations & group practices 3

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1215002035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-5222",
            "fax_number": "914-636-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFFET",
        "first_name": "SANFORD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "132612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00718401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.