Individual provider Active NPI

Rachel Sandler

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1649791104
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NR23741500 Issued in NJ
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

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
112013708MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241226000119 NJ Practitioner - Nurse Practitioner 0042747446 Reassigns benefits to 2 organizations
I20251027002532 PA Practitioner - Nurse Practitioner 0042747446 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
26NR23741500NJMDFamily Nurse Practitioner
729890-1NYMDReligious Nonmedical Nursing Personnel

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Check PC CurrentSince Aug 24, 2025 Accepting new patients
Promed Preferred NJ P.C. CurrentSince Dec 5, 2024 Accepting new patients
Bastidas Plastic Surgery, PC CurrentSince Oct 12, 2024 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.

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

Verify at the official NPI Registry.