Active NPI
Deanna Sandor, MD
- Cardiovascular Disease Physician
- Somers, NY
National Provider Identifier
1629134416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 098936
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23922P | Other | HIP | |
| 65B131 | Other | BCBS | |
| P2041537 | Other | OX | |
| 1953701 | Other | UNITED | |
| 4184 | Other | GHI | |
| 0H2717 | Other | HEALTHNET |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051130000869 | NY | Practitioner - Internal Medicine | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.