NPIMap

Organization Active NPI

Sanford Family Medical Practice PC

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1316257397
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
199863 Issued in NY
Legal business name
SANFORD FAMILY MEDICAL PRACTICE PC
Practice address
15706 Sanford Ave
Flushing, NY 11355-1126
Phone
(718) 353-8933
Fax
(718) 353-8934
NPI assigned
Oct 8, 2010
Last updated
Dec 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Ambrose Pipia, MDNPI 1154366474
Title
Physician
Phone
(718) 353-8933

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 199863 NY Primary

Addresses

Primary practice location

15706 Sanford Ave
Flushing, NY 11355-1126

Mailing address

15706 Sanford Ave
Flushing, NY 11355-1126
Phone (718) 353-8933

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1316257397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15706 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551126",
            "telephone_number": "718-353-8933",
            "fax_number": "718-353-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15706 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551126",
            "telephone_number": "718-353-8933",
            "fax_number": "718-353-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD FAMILY MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "PIPIA",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-353-8933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "199863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.