Active NPI
David J. Sands, DPM, PC
- Foot Surgery Podiatrist
- Great Neck, NY
National Provider Identifier
1417017674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 005419
- Legal business name
- DAVID J. SANDS, DPM, PC
- Practice address
- 560 Northern Blvd
Suite 210
Great Neck, NY 11021-5100 - Phone
- (516) 482-8826
- Fax
- (516) 482-8828
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David J Sands, DPM
- Title
- Podiatrist
- Phone
- (516) 482-8826
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 005419 | NY | Primary |
Addresses
Primary practice location
560 Northern Blvd
Suite 210
Great Neck, NY 11021-5100
Mailing address
560 Northern Blvd
Suite 210
Great Neck, NY 11021-5100
Phone (516) 482-8826
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00417949 | Other | NY | RAILROAD MEDICARE |
| 01978005 | Medicaid | NY | |
| 07892G | Other | NY | GHI MEDICARE |
| PB0241 | Other | NY | EMPIRE MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1417017674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 NORTHERN BLVD",
"address_2": "SUITE 210",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215100",
"telephone_number": "516-482-8826",
"fax_number": "516-482-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 NORTHERN BLVD",
"address_2": "SUITE 210",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215100",
"telephone_number": "516-482-8826",
"fax_number": "516-482-8828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J. SANDS, DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2010-01-05",
"status": "A",
"authorized_official_last_name": "SANDS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "516-482-8826",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "005419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00417949",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01978005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "07892G",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICARE",
"identifier": "PB0241",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.