Active NPI
Rachel Sandler
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NR23741500
- Practice address
- 79- 20TH Avenue
Brooklyn, NY 11214 - Phone
- (917) 652-9506
- NPI assigned
- Jul 5, 2017
- Reactivated
- Nov 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | 729890-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NR23741500 | NJ | Primary |
Addresses
Primary practice location
79- 20TH Avenue
Brooklyn, NY 11214
Mailing address
1 Club Dr Apt 4El
Woodmere, NY 11598-2007
Phone (610) 209-7287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112013708 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8 Forge LN
Cherry Hill, NJ 08002-1666
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR23741500 | NJ | MD | Family Nurse Practitioner |
| 729890-1 | NY | MD | Religious Nonmedical Nursing Personnel |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicine Check PC | Current | Accepting new patients | |
| Promed Preferred NJ P.C. | Current | Accepting new patients | |
| Bastidas Plastic Surgery, PC | Current | Accepting new patients |
Locations
228 Roseberry St
Ste 5
Phillipsburg, NJ 08865
Phone (908) 213-3433
277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300
250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Paterson, NJ
- NPI 1053724674
-
- Internal Medicine Physician
- Toms River, NJ
- NPI 1578327722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1649791104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CLUB DR APT 4EL",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982007",
"telephone_number": "610-209-7287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79- 20TH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11214",
"telephone_number": "917-652-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLER",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"deactivation_date": "2023-06-13",
"reactivation_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "NY",
"license": "729890-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NR23741500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112013708",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.