Organization Active NPI

Sandra Fefer-Sadler Medical P.C.

  • Primary Care Clinic/Center
  • Haverstraw, NY
National Provider Identifier
1326320698
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
207382 Issued in NY
Legal business name
SANDRA FEFER-SADLER MEDICAL P.C.
Practice address
41 New Main St
Haverstraw, NY 10927-1876
Phone
(845) 786-0000
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Dr. Sandra Myriam Fefer-Sadler, MD
Title
Owner
Phone
(845) 786-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 207382 NY Primary

Addresses

Primary practice location

41 New Main St
Haverstraw, NY 10927-1876

Mailing address

41 New Main St
Haverstraw, NY 10927-1876
Phone (845) 786-0000

Other identifiers 4

IdentifierTypeStateIssuer
1245211309OtherNPI TYPE 1
01771791MedicaidNY
2322ZA1OtherEMPIRE BC & BS
227OtherNYHUDSON HEALTH PLAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1326320698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NEW MAIN ST",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271876",
            "telephone_number": "845-786-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NEW MAIN ST",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271876",
            "telephone_number": "845-786-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA FEFER-SADLER MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "FEFER-SADLER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MYRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-786-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "207382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1245211309",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01771791",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC & BS",
            "identifier": "2322ZA1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUDSON HEALTH PLAN",
            "identifier": "227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverstraw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.