Organization Active NPI

Sandel Primary Care PLLC

Doing business as Cardinal Family Medicine and Aesthetics

  • Family Medicine Physician
  • Cropseyville, NY
National Provider Identifier
1396593083
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANDEL PRIMARY CARE PLLC
Doing business as
Cardinal Family Medicine and Aesthetics
Practice address
3991 Ny-2. Ste 15
Cropseyville, NY 12052
Phone
(518) 217-8199
Fax
(678) 737-1094
NPI assigned
May 8, 2024
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Dr. Elizabeth Helen Sandel, DONPI 1265636203
Title
Owner
Phone
(518) 217-8199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3991 Ny-2. Ste 15
Cropseyville, NY 12052

Mailing address

3991 Ny-2
Ste 15
Cropseyville, NY 12052
Phone (518) 217-8199

Other names 1

  • Cardinal Family Medicine and Aesthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717000070 NY Part B Supplier - Clinic/Group Practice 6709321573 Receives reassigned benefits from 1 practitioner
Practice locations: Cropseyville, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2305857Sandel Primary Care PLLC3991 Ny-2 Suite 15, Cropseyville, NY 12052Certificate of waiverJun 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1396593083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3991 NY-2",
            "address_2": "STE 15",
            "city": "CROPSEYVILLE",
            "state": "NY",
            "postal_code": "12052",
            "telephone_number": "518-217-8199",
            "fax_number": "678-737-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 NY-2. STE 15",
            "city": "CROPSEYVILLE",
            "state": "NY",
            "postal_code": "12052",
            "telephone_number": "518-217-8199",
            "fax_number": "678-737-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEL PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "SANDEL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-217-8199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal Family Medicine and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardinal Family Medicine and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cropseyville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.