Organization Active NPI

Spinal Anesthesia Diagnostic Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
National Provider Identifier
1871833269
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
219265-2 Issued in NY
Legal business name
SPINAL ANESTHESIA DIAGNOSTIC MEDICAL PC
Practice address
900 E Tremont Ave
Bronx, NY 10460-4355
Phone
(347) 918-8822
Fax
(347) 918-8821
NPI assigned
Feb 21, 2013
Last updated
Feb 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Amr A Sanduby, MD
Title
Owner
Phone
(347) 918-8822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 219265-2 NY
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 219265-2 NY Primary

Addresses

Primary practice location

900 E Tremont Ave
Bronx, NY 10460-4355

Mailing address

900 E Tremont Ave
Bronx, NY 10460-4355

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1871833269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604355",
            "telephone_number": "347-918-8822",
            "fax_number": "347-918-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL ANESTHESIA DIAGNOSTIC MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "SANDUBY",
        "authorized_official_first_name": "AMR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-918-8822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "219265-2",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "219265-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.