Organization Active NPI

Alan R. Sandberg MD PC

  • Specialist
  • New Hyde Park, NY
National Provider Identifier
1871735175
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
158140 Issued in NY
Legal business name
ALAN R. SANDBERG MD PC
Practice address
1575 Hillside Ave
Suite 105
New Hyde Park, NY 11040-2501
Phone
(516) 437-9660
Fax
(516) 328-9355
NPI assigned
Apr 1, 2009
Last updated
Jun 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Alan R Sandberg, M.D.
Title
Owner PC
Phone
(516) 437-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 158140 NY Primary

Addresses

Primary practice location

1575 Hillside Ave
Suite 105
New Hyde Park, NY 11040-2501

Mailing address

1575 Hillside Ave
Suite 105
New Hyde Park, NY 11040-2501
Phone (516) 437-9660

National Provider Directory

National Provider Directory

Locations

1575 Hillside Ave
Ste 105
New Hyde Park, NY 11040
Phone (516) 354-5300

2001 Marcus Ave
Ste W260
New Hyde Park, NY 11042
Phone (516) 358-9007

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1871735175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE",
            "address_2": "SUITE 105",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402501",
            "telephone_number": "516-437-9660",
            "fax_number": "516-328-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE",
            "address_2": "SUITE 105",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402501",
            "telephone_number": "516-437-9660",
            "fax_number": "516-328-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN R. SANDBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "SANDBERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PC",
        "authorized_official_telephone_number": "516-437-9660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "158140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.