Individual provider Active NPI

Sandhya Katz, M.B.B.S

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Flushing, NY
National Provider Identifier
1346310760
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
199894 Issued in NY
Practice address
5645 Main St
Department of Emergency Medicine
Flushing, NY 11355-5045
Phone
(718) 670-1426
NPI assigned
Nov 9, 2006
Last updated
Nov 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 199894 NY
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 199894 NY Primary

Addresses

Primary practice location

5645 Main St
Department of Emergency Medicine
Flushing, NY 11355-5045

Mailing address

285 Bulsontown Rd
Stony Point, NY 10980-3315
Phone (917) 621-5736

Other names 1

  • Sandhya Gopalakrishna Ganti Former name

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
I20080408000062 NY Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 2860579497 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199894NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Emergency Services PC Emergency Medicine CurrentSince Mar 15, 2015 Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
PM Pediatrics PC Past Accepting new patients

Locations

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

Interoperability endpoints

  • Direct secure messaging: sandhya.katz@pmuc.eclinicaldirectplus.com

Organizations & group practices 3

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1346310760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BULSONTOWN RD",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109803315",
            "telephone_number": "917-621-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "SANDHYA",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "199894",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "199894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDHYA",
            "last_name": "GANTI",
            "middle_name": "GOPALAKRISHNA",
            "credential": "M.B.B.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.