Individual provider Active NPI

Laura D Sander, M.D., M.P.H.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1386806966
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
316137 Issued in NY
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

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20220530000022 NY Practitioner - Internal Medicine 2264608363 Reassigns benefits to 1 organization
I20251106005251 MI Practitioner - Internal Medicine 2264608363 Reassigns benefits to 1 organization
I20260114004083 IN Practitioner - Internal Medicine 2264608363 Reassigns benefits to 1 organization
I20260116003672 OH Practitioner - Internal Medicine 2264608363 Reassigns benefits to 1 organization
I20260121001451 IL Practitioner - Internal Medicine 2264608363 Reassigns benefits to 1 organization
I20260310003349 FL Practitioner - Internal Medicine 2264608363 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
MD045055DCMDInternal Medicine Physician
D72551MDMDInternal Medicine Physician
25MA11719100NJMDInternal Medicine Physician
316137NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, LLC CurrentSince Jan 8, 2026 Accepting new patients
Oluwatoyin Ajayi Medical Practice, PC CurrentSince Jun 9, 2024 Accepting new patients
Cityblock Ipa Ny, LLC Internal Medicine CurrentSince Dec 14, 2025 Accepting new patients
Cityblock Medical Practice, P.a. Internal Medicine CurrentSince Oct 21, 2025 Accepting new patients
Visavis Health Care Medical Group of NJ LLC CurrentSince May 31, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.