Active NPI
Laura D Sander, M.D., M.P.H.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 316137
- Practice address
- 1259 Bedford Ave
Brooklyn, NY 11216-1813 - Phone
- (800) 336-1100
- NPI assigned
- Jun 25, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D72551 | MD | |
| Internal Medicine Physician | 207R00000X | MD045055 | DC | |
| Internal Medicine Physician | 207R00000X | 25MA11719100 | NJ | |
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 316137 | NY | |
| Internal Medicine Physician | 207R00000X | 316137 | NY | Primary |
Addresses
Primary practice location
1259 Bedford Ave
Brooklyn, NY 11216-1813
Mailing address
495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3782
Phone (800) 336-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI, IN, OH, IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
495 Flatbush Ave
Brooklyn, NY 11225-3706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045055 | DC | MD | Internal Medicine Physician |
| D72551 | MD | MD | Internal Medicine Physician |
| 25MA11719100 | NJ | MD | Internal Medicine Physician |
| 316137 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cityblock Medical Practice, LLC | Current | Accepting new patients | |
| Oluwatoyin Ajayi Medical Practice, PC | Current | Accepting new patients | |
| Cityblock Ipa Ny, LLC | Internal Medicine | Current | Accepting new patients |
| Cityblock Medical Practice, P.a. | Internal Medicine | Current | Accepting new patients |
| Visavis Health Care Medical Group of NJ LLC | Current | Accepting new patients |
Locations
15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529
16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529
186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303
831 Bedford Ave
Brooklyn, NY 11205
546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800
1259 Bedford Ave
Brooklyn, NY 11216
Phone (347) 463-5529
495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676
5049 Crookshank Rd
Cincinnati, OH 45238
Phone (513) 451-0097
800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529
500 E Main St
Ste 105
Columbus, OH 43215
Phone (614) 695-5060
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- laura.sander.1@27775.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1912491770
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1013673821
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1588296784
FL, IL, MI
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1407719339
-
- Family Medicine Physician
- Fair Lawn, NJ
- NPI 1881336428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1386806966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 FLATBUSH AVE STE C5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253782",
"telephone_number": "800-336-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112161813",
"telephone_number": "800-336-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDER",
"first_name": "LAURA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D72551",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD045055",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA11719100",
"primary": false
},
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "NY",
"license": "316137",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "316137",
"primary": true
}
],
"identifiers": [],
"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 Jun 24, 2024; 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.