Individual provider Active NPI

Sondra Dantzic, M.D.

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Florham Park, NJ
National Provider Identifier
1437245495
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
25MA07503600 Issued in NJ
Practice address
23 Vreeland Road
Florham Park, NJ 07932
Phone
(732) 440-9758
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X MD057704L PA
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X 25MA07503600 NJ Primary

Addresses

Primary practice location

23 Vreeland Road
Florham Park, NJ 07932

Mailing address

23 Vreeland Rd
Florham Park, NJ 07932-1510

Other identifiers 2

IdentifierTypeStateIssuer
03354161MedicaidNY
9049002MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211022000342 NJ Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 2466501622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD057704LPAMDHospice and Palliative Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lilycare of New Jersey LLC CurrentSince Nov 19, 2023 Accepting new patients
Planned Parenthood of Delaware Past Accepting new patients
Vitas Healthcare Corporation Atlantic PastSince Oct 1, 2021 Accepting new patients

Locations

23 Vreeland Rd
Florham Park, NJ 07932
Phone (732) 440-9758

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1437245495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 VREELAND RD",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 VREELAND ROAD",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "07932",
            "telephone_number": "732-440-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZIC",
        "first_name": "SONDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "MD057704L",
            "primary": false
        },
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA07503600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03354161",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9049002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.