Active NPI
Sanford Proner
- Podiatrist
- Bronxville, NY
National Provider Identifier
1255330395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003428-1
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000596 | Other | NY | CONNETICARE |
| 4287378 | Other | NY | AETNA (PPO OR MC) |
| 26722 | Other | NY | UNITED HEALTHCARE |
| 480002271 | Other | NY | RR MEDICARE |
| 0007656 | Other | NY | GHI |
| WS686 | Other | NY | OXFORD |
| 0254254006 | Other | NY | CIGNA |
| OH1795 | Other | NY | HEALTHNET |
| P35822 | Other | NY | BLUE CROSS BLUE SHIELD |
| 92609 | Other | NY | AETNA (HMO) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 81 |
| Removal of skin lesions | 53 |
| Removal of nail tissue | 345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003428 | NY | MD | Acupuncturist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- sproner69085@northwell.direct-ci.com
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.