Organization Active NPI

Jay H Sandberg DO PC

Doing business as Oakland Medical Center

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1467481358
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JAY H SANDBERG DO PC
Doing business as
Oakland Medical Center
Practice address
115 E Long Lake Rd
Troy, MI 48085-5524
Phone
(248) 828-7500
Fax
(248) 813-6511
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Jay H Sandberg, D.ONPI 1548293483
Title
President
Phone
(248) 828-7500

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

115 E Long Lake Rd
Troy, MI 48085-5524

Mailing address

115 E Long Lake Rd
Troy, MI 48085-5524
Phone (248) 828-7500

Other names 1

  • OAKLAND MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041007000552 MI Part B Supplier - Clinic/Group Practice 0042279739 Receives reassigned benefits from 2 practitioners
Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1467481358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855524",
            "telephone_number": "248-828-7500",
            "fax_number": "248-813-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855524",
            "telephone_number": "248-828-7500",
            "fax_number": "248-813-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY H SANDBERG DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "SANDBERG",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-828-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKLAND MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.