Sandra S Mamis, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002898 Issued in NY

Practice address

400 Gidney Ave
Newburgh, NY 12550-3701

Phone

(845) 561-1565

Fax

(845) 561-1578

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437145877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503701",
            "telephone_number": "845-561-1565",
            "fax_number": "845-561-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503701",
            "telephone_number": "845-561-1565",
            "fax_number": "845-561-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMIS",
        "first_name": "SANDRA",
        "middle_name": "S",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "002898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Malcolm
• Anamarcela Maldonado
• Jayashri C Malkani, DDS
• Abida K Mallick, MD
• Elizabeth Mambondimumwe, RPT
• Veronica Manchanda, M.D.
• Dennis Daniel Mancusi, CASAC
• Lauren Michelle Mandel, RN BSN
• Marsha E Mandel, LMHC
• Andrea Denee Manigault, M.S. CCC-SLP

• Medical Physician Assistant in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.