Active NPI
David Sandler, LPN
- Licensed Practical Nurse
- Elkins Park, PA
National Provider Identifier
1376764589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN252304L
- Practice address
- 7764 Montgomery Ave
Elkins Park, PA 19027-2612 - Phone
- (215) 635-4079
- Fax
- (215) 780-1819
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN252304L | PA | Primary |
| Licensed Practical Nurse | 164W00000X | 26NP05647100 | NJ |
Addresses
Primary practice location
7764 Montgomery Ave
Elkins Park, PA 19027-2612
Mailing address
7764 Montgomery Ave
Elkins Park, PA 19027-2612
Phone (215) 635-4079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NP05647100 | NJ | MD | Licensed Practical Nurse |
| PN252304L | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376764589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7764 MONTGOMERY AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272612",
"telephone_number": "215-635-4079",
"fax_number": "215-780-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7764 MONTGOMERY AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272612",
"telephone_number": "215-635-4079",
"fax_number": "215-780-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLER",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN252304L",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NJ",
"license": "26NP05647100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.