Sandy Tapuyao Clemente, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD457813 Issued in PA

Practice address

3822 Colonial Ave Ste C
Erie, PA 16506-3826

Phone

(814) 833-5653

Fax

(814) 838-1153

NPI assigned

Jun 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medical Service Professionals of NJ LLC

  dba Clover Home Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Lyndhurst, NJ
  • NPI 1972044923
  Medicare reassignment NPD
• Prohealth Urgent Care Medicine of New Jersey LLP

  • Emergency Care Clinic/Center
  • Edgewater, NJ
  • NPI 1477927754
  Medicare reassignment NPD

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1811258122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SASSAFRAS ST",
            "address_2": "STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022716",
            "telephone_number": "814-833-5653",
            "fax_number": "814-838-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 COLONIAL AVE STE C",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063826",
            "telephone_number": "814-833-5653",
            "fax_number": "814-838-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "SANDY",
        "middle_name": "TAPUYAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT201293",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD457813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Cleary-Herman
• Cynthia M Cleaves
• Mark Clement
• Jeffrey E Clemente, M.D.
• Phoebe Clemente
• Clinical Associates in Radiology Inc
• Clinical Practice of Lecom Institute for Successful Living (LECOM Clinical Practice Supplies)
• Clinical Practice of Lecom Institute for Successful Living (Rural Health Clinic of Wattsburg)
• Clinical Practice of Lecom Institute for Successful Living (LECOM Restorative Therapy)
• Clinical Practice of Lecom Institute for Successful Living (LECOM Institute for Successful Living)

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.