Individual provider Active NPI

Deanna Sandor, MD

  • Cardiovascular Disease Physician
  • Somers, NY
National Provider Identifier
1629134416
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
098936 Issued in NY
Practice address
Route 100 Millpond Road
Suite 207a
Somers, NY 10589
Phone
(914) 276-2290
Fax
(914) 276-2341
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 098936 NY Primary

Addresses

Primary practice location

Route 100 Millpond Road
Suite 207a
Somers, NY 10589

Mailing address

Route 100 Millpond Road
Suite 207a
Somers, NY 10589
Phone (914) 276-2290

Other identifiers 6

IdentifierTypeStateIssuer
23922POtherHIP
65B131OtherBCBS
P2041537OtherOX
1953701OtherUNITED
4184OtherGHI
0H2717OtherHEALTHNET

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
I20051130000869 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5597785931 Practice locations: Somers, NY

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1629134416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROUTE 100 MILLPOND ROAD",
            "address_2": "SUITE 207A",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "10589",
            "telephone_number": "914-276-2290",
            "fax_number": "914-276-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 100 MILLPOND ROAD",
            "address_2": "SUITE 207A",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "10589",
            "telephone_number": "914-276-2290",
            "fax_number": "914-276-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOR",
        "first_name": "DEANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "098936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "23922P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65B131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OX",
            "identifier": "P2041537",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1953701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0H2717",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

Verify at the official NPI Registry.