Individual provider Active NPI

Sandy Victor

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1245024900
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000000 Issued in NJ
Practice address
1481 McDonald Ave
Brooklyn, NY 11230-4667
Phone
(929) 491-7333
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000000 NJ Primary

Addresses

Primary practice location

1481 McDonald Ave
Brooklyn, NY 11230-4667

Mailing address

209 Main St
Keyport, NJ 07735-1466
Phone (845) 271-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250604002890 NJ Practitioner - Nurse Practitioner 8527577121 Reassigns benefits to 2 organizations
I20250708002927 NY Practitioner - Nurse Practitioner 8527577121 Reassigns benefits to 2 organizations
I20251001001155 FL Practitioner - Nurse Practitioner 8527577121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visavis Health Care Medical Group of NJ LLCGroup PAC ID 1456730670, 14 clinicians

Practice addresses (Care Compare)

4 Lauren LN
Trenton, NJ 08620-9538
Phone (718) 534-0689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Call Medicine Check Ny PC CurrentSince May 3, 2025 Accepting new patients
Visavis Health Care Medical Group of FL, PLLC CurrentSince Jul 26, 2025 Accepting new patients
Visavis Health Care Medical Group of NJ LLC CurrentSince Jul 25, 2025 Accepting new patients
Promed Preferred NJ P.C. CurrentSince Mar 31, 2025 Accepting new patients
Matrix Medical of New York PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

10150 Highland Manor Dr
Ste 300
Tampa, FL 33610
Phone (813) 558-6600

277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300

277 Route 70
Unit 231
Toms River, NJ 08755

31 Spencer St
Ste 1501
Brooklyn, NY 11205
Phone (718) 851-3700

831 Bedford Ave
Brooklyn, NY 11205

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 5

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": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245024900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077351466",
            "telephone_number": "845-271-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304667",
            "telephone_number": "929-491-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "SANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.