Active NPI
Mark Sandigursky Internal Medicine, PLLC
- Internal Medicine Physician
- Yonkers, NY
National Provider Identifier
1861548950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 193278
- Legal business name
- MARK SANDIGURSKY INTERNAL MEDICINE, PLLC
- Practice address
- 875 Yonkers Ave
Yonkers, NY 10704-3019 - Phone
- (914) 237-0959
- Fax
- (914) 375-4405
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Sandigursky, M.D.
- Title
- President
- Phone
- (914) 237-0959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 193278 | Primary |
Addresses
Primary practice location
875 Yonkers Ave
Yonkers, NY 10704-3019
Mailing address
875 Yonkers Ave
Yonkers, NY 10704-3019
Phone (914) 237-0959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01728541 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392163200000",
"number": "1861548950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 YONKERS AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107043019",
"telephone_number": "914-237-0959",
"fax_number": "914-375-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 YONKERS AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107043019",
"telephone_number": "914-237-0959",
"fax_number": "914-375-4405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK SANDIGURSKY INTERNAL MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2014-02-12",
"status": "A",
"authorized_official_last_name": "SANDIGURSKY",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-237-0959",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": "193278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01728541",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.