Individual provider Active NPI

Audrey Cecile Sangster Sadaphal, MD

  • General Practice Physician
  • Valley Stream, NY
National Provider Identifier
1215237581
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
166066 Issued in NY
Practice address
44 Georgia Street,
Valley Stream, NY 11580
Phone
(516) 285-4384
Fax
(516) 285-1909
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 166066 NY Primary

Addresses

Primary practice location

44 Georgia Street,
Valley Stream, NY 11580

Mailing address

44 Georgia Street,
Valley Stream, NY 11580
Phone (516) 285-4384

Other names 1

  • Audrey Cecile Sangster Former name

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
I20141010000028 NY Practitioner - General PracticePractitioner - Family PracticePractitioner - Pathology 2163642315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pathology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expert Medical Services LLCGroup PAC ID 4284651738, 41 clinicians

Practice addresses (Care Compare)

33 Manors Dr
Jericho, NY 11753-1729
Phone 7182767935800

35 N Tyson Ave
Suite 100
Floral Park, NY 11001-1403
Phone (718) 276-7935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Medical Services LLC CurrentSince Mar 15, 2014 Accepting new patients
Expert Mobile Health General Practice PastSince Mar 19, 2023 Accepting new patients

Locations

35 N Tyson Ave
Ste 100
Floral Park, NY 11001
Phone (718) 276-7935

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.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1215237581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GEORGIA STREET,",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "516-285-4384",
            "fax_number": "516-285-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GEORGIA STREET,",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "516-285-4384",
            "fax_number": "516-285-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGSTER SADAPHAL",
        "first_name": "AUDREY",
        "middle_name": "CECILE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "166066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "SANGSTER",
            "middle_name": "CECILE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.