Individual provider Active NPI

Mark Sandigursky, M.D.

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1255429767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
193278 Issued in NY
Practice address
875 Yonkers Ave
Yonkers, NY 10704-3019
Phone
(914) 237-0959
Fax
(914) 375-4405
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 193278 NY Primary

Addresses

Primary practice location

875 Yonkers Ave
Yonkers, NY 10704-3019

Mailing address

875 Yonkers Ave
Yonkers, NY 10704-3019
Phone (914) 237-0959

Other identifiers 1

IdentifierTypeStateIssuer
01728541MedicaidNY

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
I20040428000820 NY Practitioner - Internal Medicine 1153318407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph'S Medical Practice PCGroup PAC ID 5597901868, 28 clinicians

Practice addresses (Care Compare)

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7584

Hospital & facility affiliations

  • VNS Westchester Chha Home health agency, White Plains, NY, CCN 337146
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
  • St Joseph'S Medical Center Hospital, Yonkers, NY, CCN 330006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph'S Medical Practice PC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients

Locations

3050 Corlear Ave
Ste 201
Bronx, NY 10463
Phone (718) 543-2700

115 Broadway
Dobbs Ferry, NY 10522
Phone (914) 693-6800

127 S Broadway
Ste 409
Yonkers, NY 10701
Phone (914) 378-7583

875 Yonkers Ave
Yonkers, NY 10704
Phone (914) 237-0959

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJJACA

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255429767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043019",
            "telephone_number": "914-237-0959",
            "fax_number": "914-375-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043019",
            "telephone_number": "914-237-0959",
            "fax_number": "914-375-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIGURSKY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "193278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01728541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.