Individual provider Active NPI

James Dennis Sandy Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1700050101
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005859 Issued in PA
Practice address
759 S Mole St
Philadelphia, PA 19146-2145
Phone
(267) 252-3782
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005859 PA Primary

Addresses

Primary practice location

759 S Mole St
Philadelphia, PA 19146-2145

Mailing address

759 S Mole St
Philadelphia, PA 19146-2145
Phone (267) 252-3782

Other practice location 1

4700 Wissahickon Ave Ste 118
Philadelphia, PA 19144-4248
Phone (267) 597-3604

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080828000561 PA Practitioner - Podiatry 2769558667 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Family Practice and Counseling Services NetworkGroup PAC ID 7012424740, 40 clinicians

Practice addresses (Care Compare)

4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248
Phone (267) 597-3600

Hospital & facility affiliations

  • Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jun 15, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jun 15, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. Current Accepting new patients
John J Degovann DPM PC CurrentSince Jul 24, 2022 Accepting new patients

Locations

5735 Ridge Ave
Ste 203
Philadelphia, PA 19128
Phone (215) 487-0475

4700 Wissahickon Ave
Ste 119
Philadelphia, PA 19144
Phone 2158439720 ext. 3640

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1700050101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 S MOLE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462145",
            "telephone_number": "267-252-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 S MOLE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462145",
            "telephone_number": "267-252-3782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Wissahickon Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191444248",
            "country_code": "US",
            "telephone_number": "267-597-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDY",
        "first_name": "JAMES",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.