Active NPI
Jeffrey J Sandhaus, M.D.
- Urology Physician
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0991021
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00169228 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0991021 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Urology | Current | 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.
-
dba Mount Sinai Queens Doctors
- Internal Medicine Physician
- Astoria, NY
- NPI 1477932275
-
dba Mount Sinai Doctors Long Island
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
Urology
-
dba Western Queens Health Associates
- Cardiovascular Disease Physician
- Long Island City, NY
- NPI 1871589200
-
- Clinic/Center
- Flushing, NY
- NPI 1033265095
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.