NPIMap

Organization Active NPI

Sanderson Medical PC

  • Family Medicine Physician
  • Briarwood, NY
National Provider Identifier
1306032305
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
168193 Issued in NY
Legal business name
SANDERSON MEDICAL PC
Practice address
8515 Main St
Briarwood, NY 11435-1849
Phone
(718) 523-7186
NPI assigned
Sep 24, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Virgil Thomas Sanderson, MDNPI 1659436293
Title
President
Phone
(718) 523-7186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 168193 NY Primary

Addresses

Primary practice location

8515 Main St
Briarwood, NY 11435-1849

Mailing address

8515 Main St
Briarwood, NY 11435-1849
Phone (718) 523-7186

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306032305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 MAIN ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351849",
            "telephone_number": "718-523-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 MAIN ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351849",
            "telephone_number": "718-523-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERSON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-523-7186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "168193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.