Individual provider Active NPI

Nan Sandar, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1376785634
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
252447-1 Issued in NY
Practice address
129 Saint Nicholas Ave
Brooklyn, NY 11237-4039
Phone
(718) 821-0643
Fax
(718) 628-4123
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 252447-1 NY Primary

Addresses

Primary practice location

129 Saint Nicholas Ave
Brooklyn, NY 11237-4039

Mailing address

129 Saint Nicholas Ave
Brooklyn, NY 11237-4039
Phone (718) 821-0643

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
I20090824000145 NY Practitioner - Gastroenterology 2860410156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Li MD PLLCGroup PAC ID 5799772935, 3 clinicians

Practice addresses (Care Compare)

13620 38TH Ave
Suite 6F
Flushing, NY 11354-4263
Phone (718) 888-9700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252447-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Li MD PLLC Specialist CurrentSince May 15, 2015 Accepting new patients

Locations

13620 38th Ave
Ste 6F
Flushing, NY 11354
Phone (718) 213-6118

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1376785634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374039",
            "telephone_number": "718-821-0643",
            "fax_number": "718-628-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374039",
            "telephone_number": "718-821-0643",
            "fax_number": "718-628-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAR",
        "first_name": "NAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "252447-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.