Active NPI
Earl V Sandor, MD
- Ophthalmology Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA044441900
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA044441900 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earl V. Sandor MD LLC | Ophthalmology | Current | Accepting new patients |
| John J K Tan MD PA | Past | 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
- 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.
-
- Ophthalmology Physician
- Hackensack, NJ
- NPI 1477997716
-
- Otolaryngology Physician
- Montclair, NJ
- NPI 1306077144
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.