Individual provider Active NPI

Neil L Sand, DO

  • Internal Medicine Physician
  • Wyndmoor, PA
National Provider Identifier
1336105782
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 006473 E Issued in PA
Practice address
8200 Flourtown Ave
Ste 7
Wyndmoor, PA 19038
Phone
(215) 836-5100
Fax
(215) 836-6011
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS 006473 E PA Primary

Addresses

Primary practice location

8200 Flourtown Ave
Ste 7
Wyndmoor, PA 19038

Mailing address

8200 Flourtown Ave
Ste 7
Wyndmoor, PA 19038
Phone (215) 836-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000291 PA Practitioner - Internal Medicine 6608060538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 006473 EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Clinic Company, LLC CurrentSince Nov 1, 2013 Accepting new patients
Chestnut Hill Clinic Company, LLC Internal Medicine CurrentSince Nov 1, 2013 Accepting new patients

Locations

8200 Flourtown Ave
Ste 7
Wyndmoor, PA 19038
Phone (215) 836-5100

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

Organizations & group practices 2

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1336105782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "STE 7",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "19038",
            "telephone_number": "215-836-5100",
            "fax_number": "215-836-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "STE 7",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "19038",
            "telephone_number": "215-836-5100",
            "fax_number": "215-836-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAND",
        "first_name": "NEIL",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS 006473 E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

Verify at the official NPI Registry.