Organization Active NPI

Renata Sanders MD PLLC

  • Psychiatry Physician
  • Cedarhurst, NY
National Provider Identifier
1285034819
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
264276 Issued in NY
Legal business name
RENATA SANDERS MD PLLC
Practice address
445 Central Ave
Suite 331
Cedarhurst, NY 11516-2001
Phone
(917) 355-0312
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Renata SandersNPI 1063686467
Title
MD
Phone
(917) 355-0312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 264276 NY Primary

Addresses

Primary practice location

445 Central Ave
Suite 331
Cedarhurst, NY 11516-2001

Mailing address

445 Central Ave
Suite 331
Cedarhurst, NY 11516-2001
Phone (917) 355-0312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731015367 NY Part B Supplier - Clinic/Group Practice 3577877737 Receives reassigned benefits from 2 practitioners
Practice locations: Cedarhurst, NY

National Provider Directory

National Provider Directory

Locations

445 Central Ave
Unit 331
Cedarhurst, NY 11516
Phone (516) 304-8020

445 Central Ave
Unit 346
Cedarhurst, NY 11516
Phone (516) 304-8020

455 Central Ave
#331
Cedarhurst, NY 11516
Phone (917) 355-0312

Practitioners & affiliated clinicians

Practitioners 2

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": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1285034819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTRAL AVE",
            "address_2": "SUITE 331",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162001",
            "telephone_number": "917-355-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTRAL AVE",
            "address_2": "SUITE 331",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162001",
            "telephone_number": "917-355-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATA SANDERS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-355-0312"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "264276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.