Organization Active NPI

Sangha Optical Inc.

  • Prosthetic/Orthotic Supplier
  • South Richmond Hill, NY
National Provider Identifier
1235331307
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SANGHA OPTICAL INC.
Doing business as
Sangha Optical Inc.
Practice address
12714 Liberty Ave
South Richmond Hill, NY 11419-2216
Phone
(718) 845-6888
Fax
(718) 845-9708
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Chandra Kanhoye
Title
Owner
Phone
(718) 845-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NY Primary

Addresses

Primary practice location

12714 Liberty Ave
South Richmond Hill, NY 11419-2216

Mailing address

12714 Liberty Ave
South Richmond Hill, NY 11419-2216
Phone (718) 845-6888

Other identifiers 1

IdentifierTypeStateIssuer
01730309MedicaidNY

Other names 1

  • SANGHA OPTICAL INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050114000498 NY Part B Supplier - Clinic/Group Practice 0840249090 Receives reassigned benefits from 2 practitioners
Practice locations: South Richmond Hill, NY

National Provider Directory

National Provider Directory

Locations

12714 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 845-6888

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235331307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12714 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192216",
            "telephone_number": "718-845-6888",
            "fax_number": "718-845-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12714 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192216",
            "telephone_number": "718-845-6888",
            "fax_number": "718-845-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGHA OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KANHOYE",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-845-6888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01730309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANGHA OPTICAL INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.