Sanderson Medical PC

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

Organization subpart

No

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

Authorized official

Name

Dr. Virgil Thomas Sanderson, MD

Title

President

Phone

(718) 523-7186

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Marcelonis

  • Podiatrist
  • Briarwood, NY
  • NPI 1871501478
  NPD (past)
• Samuel E Ottong, MD

  • Family Medicine Physician
  • Briarwood, NY
  • NPI 1972706174
  NPD (past)
• Alla Sragets, M.D.

  • Obstetrics & Gynecology Physician
  • San Mateo, CA
  • NPI 1013956978
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01000908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nataly Safiev, FNP
• Prinkle Saini, RN BSN
• Samaritan Daytop Village
• Corliss S Sampson, MS, RD
• Sanctuary Mind NP in Psychiatry PLLC
• Virgil Thomas Sanderson, MD
• Maria Lalaine Gonzales Santos, RN
• Farhana Sarwar
• Kim Marie Schenone, RPA-C
• Joan Schifaudo, LCSW

• Family Medicine Physician in Briarwood, NY
• Providers in Briarwood, NY by specialty
• Family Medicine Physician in New York

• 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.