Individual provider Active NPI

Earl V Sandor, MD

  • Ophthalmology Physician
  • Hackensack, NJ
National Provider Identifier
1740377704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA044441900 Issued in NJ
Practice address
71 Summit Ave
Hackensack, NJ 07601-1262
Phone
(201) 342-0006
Fax
(201) 342-0038
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA044441900 NJ Primary

Addresses

Primary practice location

71 Summit Ave
Hackensack, NJ 07601-1262

Mailing address

71 Summit Ave
Hackensack, NJ 07601-1262
Phone (201) 342-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040812000121 NJ Practitioner - Ophthalmology 9032181797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

71 Summit Ave
Hackensack, NJ 07601-1262

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA044441900NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Earl V. Sandor MD LLC Ophthalmology CurrentSince Mar 1, 2014 Accepting new patients
John J K Tan MD PA PastSince Nov 16, 2010 Accepting new patients

Locations

71 Summit Ave
Hackensack, NJ 07601
Phone (201) 342-0006

94 Park St
Montclair, NJ 07042
Phone (973) 746-2422

Interoperability endpoints

  • Direct secure messaging: earl.sandor@direct.hackensackmeridian.org

Organizations & group practices 2

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 2

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740377704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011262",
            "telephone_number": "201-342-0006",
            "fax_number": "201-342-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011262",
            "telephone_number": "201-342-0006",
            "fax_number": "201-342-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOR",
        "first_name": "EARL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA044441900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.