Individual provider Active NPI

Jeffrey J Sandhaus, M.D.

  • Urology Physician
  • Astoria, NY
National Provider Identifier
1558341305
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0991021 Issued in NY
Practice address
3601 31St Ave
Astoria, NY 11106-1051
Phone
(718) 932-3535
Fax
(718) 932-6939
NPI assigned
Jan 18, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0991021 NY Primary

Addresses

Primary practice location

3601 31St Ave
Astoria, NY 11106-1051

Mailing address

3601 31St Ave
Astoria, NY 11106-1051
Phone (718) 932-3535

Other identifiers 1

IdentifierTypeStateIssuer
00169228MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914001345 NY Practitioner - Urology 7113994575 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0991021NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Nov 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2017 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Urology CurrentSince Nov 1, 2020 Accepting new patients
Pension Committee Joint Industry Board Past Accepting new patients
Broadway Cardiopulmonary, P.C. Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230

3141 45th St
Long Island City, NY 11103
Phone (718) 274-2600

380 2nd Ave
Ste 100
New York, NY 10010
Phone (212) 254-3570

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1558341305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061051",
            "telephone_number": "718-932-3535",
            "fax_number": "718-932-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061051",
            "telephone_number": "718-932-3535",
            "fax_number": "718-932-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHAUS",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "0991021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00169228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.