Individual provider Active NPI

Martha Lewis-Sandari, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1295201713
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
409 Knickerbocker Ave Apt 2
Brooklyn, NY 11237-6823
Phone
(516) 386-8663
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Physician Assistant 363A00000X 023101 NY
Medical Physician Assistant 363AM0700X 023101 NY

Addresses

Primary practice location

409 Knickerbocker Ave Apt 2
Brooklyn, NY 11237-6823

Mailing address

409 Knickerbocker Ave Apt 2
Brooklyn, NY 11237-6823
Phone (516) 386-8663

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190510001323 NY Practitioner - Physician Assistant 1557604717 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balance Choice CareGroup PAC ID 4880069855, 2 clinicians
RJ Medical and Urgent Care PLLCGroup PAC ID 0547567828, 5 clinicians

Practice addresses (Care Compare)

409 Knickerbocker Ave
Apt 2
Brooklyn, NY 11237-6823
Phone (212) 729-9263

464 Bay Ridge Ave
Suite a
Brooklyn, NY 11220-5906
Phone (718) 680-6006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023101NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ag Urgent Care, P.C. PastSince Apr 30, 2023 Accepting new patients
Lifeline Medical Testing PLLC Past Accepting new patients
464 Bay Ridge Medical PLLC Past Accepting new patients

Networks

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

Organizations & group practices 8

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1295201713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KNICKERBOCKER AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112376823",
            "telephone_number": "516-386-8663",
            "fax_number": "877-673-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 KNICKERBOCKER AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112376823",
            "telephone_number": "516-386-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-SANDARI",
        "first_name": "MARTHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023101",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "023101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.