Individual provider Active NPI

Sanford Proner

  • Podiatrist
  • Bronxville, NY
National Provider Identifier
1255330395
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003428-1 Issued in NY
Practice address
1428 Midland Ave
Bronxville, NY 10708-6042
Phone
(914) 237-7300
Fax
(914) 237-7301
NPI assigned
Jul 20, 2005
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003428-1 NY Primary

Addresses

Primary practice location

1428 Midland Ave
Bronxville, NY 10708-6042

Mailing address

1428 Midland Ave
Bronxville, NY 10708-6042
Phone (914) 237-7300

Other identifiers 10

IdentifierTypeStateIssuer
000596OtherNYCONNETICARE
4287378OtherNYAETNA (PPO OR MC)
26722OtherNYUNITED HEALTHCARE
480002271OtherNYRR MEDICARE
0007656OtherNYGHI
WS686OtherNYOXFORD
0254254006OtherNYCIGNA
OH1795OtherNYHEALTHNET
P35822OtherNYBLUE CROSS BLUE SHIELD
92609OtherNYAETNA (HMO)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100331001145 NY Practitioner - Podiatry 0244366979 Practice locations: Bronxville, NY
I20161209000984 CT Practitioner - Podiatry 0244366979 Practice locations: Stamford, CT
O20100930062326 NY DME Supplier - Physician - Podiatry 0840407045 Practice locations: Bronxville, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1428 Midland Ave
Bronxville, NY 10708-6042

59 Roxbury Rd
Stamford, CT 06902-1283
Phone (203) 322-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue81
Removal of skin lesions53
Removal of nail tissue345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003428NYMDAcupuncturist

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sproner69085@northwell.direct-ci.com

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1255330395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 MIDLAND AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086042",
            "telephone_number": "914-237-7300",
            "fax_number": "914-237-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 MIDLAND AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086042",
            "telephone_number": "914-237-7300",
            "fax_number": "914-237-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRONER",
        "first_name": "SANFORD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003428-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNETICARE",
            "identifier": "000596",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA (PPO OR MC)",
            "identifier": "4287378",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "26722",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480002271",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0007656",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS686",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0254254006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OH1795",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P35822",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA (HMO)",
            "identifier": "92609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.