Individual provider Active NPI

Hervey Allen Sande, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1891773974
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002169 Issued in NY
Practice address
451 Clarkson Avenue
Kings County Hospital Opd Podiatry Clinic
Brooklyn, NY 11203
Phone
(718) 245-3545
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N002169 NY Primary

Addresses

Primary practice location

451 Clarkson Avenue
Kings County Hospital Opd Podiatry Clinic
Brooklyn, NY 11203

Mailing address

9921 Fourth Avenue
2F
Brooklyn, NY 11209-8348
Phone (718) 680-2968

Other identifiers 1

IdentifierTypeStateIssuer
00405409MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N002169NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891773974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 FOURTH AVENUE",
            "address_2": "2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098348",
            "telephone_number": "718-680-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 CLARKSON AVENUE",
            "address_2": "KINGS COUNTY HOSPITAL OPD PODIATRY CLINIC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-245-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDE",
        "first_name": "HERVEY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.