Organization Active NPI

Mark Sandigursky Internal Medicine, PLLC

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1861548950
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Feb 12, 2014

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01728541MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.