Active NPI
Sandra McCalla, MD
- Specialist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 167008-1
- Practice address
- OB Perinatal, Aron 1, 1St Floor
4802 Tenth Avenue
Brooklyn, NY 11219 - Phone
- (718) 283-8362
- Fax
- (718) 635-7299
- NPI assigned
- Jul 7, 2005
- Last updated
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 167008-1 | NY | Primary |
Addresses
Primary practice location
OB Perinatal, Aron 1, 1St Floor
4802 Tenth Avenue
Brooklyn, NY 11219
Mailing address
OB Perinatal, Aron 1, 1St Floor
4802 Tenth Avenue
Brooklyn, NY 11219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00771393 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5014 Fort Hamilton Pkwy
Brooklyn, NY 11219-3324
Phone (718) 283-7979
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167008-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| MMC OB-GYN Faculty Practice Plan | Specialist | Current | Accepting new patients |
| MMC OB GYN Perinatal Diagnostic Ultrasound | Specialist | Current | Accepting new patients |
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients |
Locations
110 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4155
1419 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 455-4909
1616A Voorhies Ave
Brooklyn, NY 11235
Phone (718) 283-8225
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
4422 9th Ave
Brooklyn, NY 11220
Phone (718) 283-8930
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
4802 10th Ave
Fl 1
Brooklyn, NY 11219
Phone (212) 427-3986
4813 9th Ave
Ste 4
Brooklyn, NY 11220
5014 Fort Hamilton Pkwy
Brooklyn, NY 11219
Phone (718) 283-7979
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- sandramccalla@mai.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1326045477
Specialist
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Specialist
- Brooklyn, NY
- NPI 1306843388
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1336147032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OB PERINATAL, ARON 1, 1ST FLOOR",
"address_2": "4802 TENTH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OB PERINATAL, ARON 1, 1ST FLOOR",
"address_2": "4802 TENTH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219",
"telephone_number": "718-283-8362",
"fax_number": "718-635-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLA",
"first_name": "SANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "167008-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00771393",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.