Active NPI
Stephen M. Sanders Jr., P.A.
- Physician Assistant
- Oceanside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007812-1
- Practice address
- 1 Healthy Way
Oceanside, NY 11572-1551 - Phone
- (516) 632-3900
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007812-1 | NY | Primary |
Addresses
Primary practice location
1 Healthy Way
Oceanside, NY 11572-1551
Mailing address
PO Box 826223
Philadelphia, PA 19182-6223
Phone (866) 898-7142
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | STEPHEN.SANDERS@hca4.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S 23Rd St
HCA Florida Lawnwood Hospital
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
2402 Frist Blvd
Fort Pierce, FL 34950-4838
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007812-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services, LLC | Physician Assistant | Current | Accepting new patients |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| Island Emergency Medical Services, P.C. | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- stephen.sanders@hca4.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Fort Pierce, FL
- NPI 1639246234
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Gainesville, FL
- NPI 1871155887
Physician Assistant
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1457338410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 826223",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191826223",
"telephone_number": "866-898-7142",
"fax_number": "770-237-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HEALTHY WAY",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721551",
"telephone_number": "516-632-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "STEPHEN",
"middle_name": "M.",
"name_suffix": "Jr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007812-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "STEPHEN.SANDERS@hca4.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1 Healthy Way",
"city": "Oceanside",
"state": "NY",
"country_code": "US",
"postal_code": "115721551",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.
- 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.