Juan Sandoval

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

235394 Issued in NY

Practice address

9413 Flatlands Ave
Suite 206E
Brooklyn, NY 11236

Phone

(718) 485-2420

NPI assigned

Jan 19, 2006

Last updated

Jun 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Obstetrics/Gynecology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians

Brownsville Community Development CorporationGroup PAC ID 7416903323, 18 clinicians

Womens Medical Services of New York PCGroup PAC ID 0547413916, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233

Merit-based Incentive Payment System (MIPS)

Final score

85.41 of 100Reported as group

Quality

64.77

Promoting interoperability

79

Improvement activities

40

Cost

70.76

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: jsandoval10659@direct.medisys.org
• Direct secure messaging: juan.sandoval.1@13126.direct.athenahealth.com
• Direct secure messaging: juansandoval@mai.allscriptsdirect.net
• Direct secure messaging: juansandoval@whmc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Womens Medical Services of New York PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1184873572
  Medicare reassignment Care Compare group NPD Authorized official
• Brownsville Community Development Corporation

  dba Brownsville MultiService Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1578612412
  Medicare reassignment Care Compare group NPD
• Interfaith Professional Physician Services, P.C.

  dba OBH Physician Associates

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1457643991
  Medicare reassignment Care Compare group NPD
• TJH Medical Services, P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184670465
  Medicare reassignment Care Compare group NPD
• Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1720028772
  Medicare reassignment NPD
• Womens Medical Services PC

  • Specialist
  • Brooklyn, NY
  • NPI 1629058763
  NPD Authorized official
• Advanced Medical Care of Ny, PC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1487912903
  Authorized official Same address or phone
• Brownsville Community Development Corporation

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1316681430
  NPD
• Interfaith Emergency Medicine, P.C.

  dba OBH Emergency Medicine Physicians

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1457643785
  NPD
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• The Brookdale Hospital Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1639756406
  NPD
• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  NPD

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

• The Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1346380870
  Care Compare affiliation
• The Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1356307656
  Care Compare affiliation
• The Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1487724712
  Care Compare affiliation
• The Brookdale Hospital Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1639756406

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1770563272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BARNES LN",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304402",
            "telephone_number": "718-485-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 FLATLANDS AVE",
            "address_2": "SUITE 206E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-485-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "592 Rockaway Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112125539",
            "country_code": "US",
            "telephone_number": "718-345-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "235394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01981093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Sandomenico, LMT
• Benedict John Sandona, D.P.T.
• Tal Sandor, MD
• Desiree Sandoval, SW INTERN
• Gracelynn Sandoval, MS, CCC-SLP
• Juan Carlos Sandoval
• Nayda Luz Sandoz-Perez, L.M.S.W.
• Arshia Sandozi, DO
• Sandra Medical Supplies Inc
• Perri Sands

• Obstetrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Obstetrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.

Verify at the official NPI Registry.