Individual provider Active NPI

Sandra McCalla, MD

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1336147032
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
167008-1 Issued in NY
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00771393MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080912000264 NY Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 7810063005 Reassigns benefits to 4 organizations

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
MMC OB GYN Perinatal Diagnostic UltrasoundGroup PAC ID 1052596889, 6 clinicians

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

LicenseStateTypeSpecialty
167008-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jun 11, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
MMC OB-GYN Faculty Practice Plan Specialist CurrentSince Jun 1, 2011 Accepting new patients
MMC OB GYN Perinatal Diagnostic Ultrasound Specialist CurrentSince May 26, 2011 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Apr 22, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.