Organization Active NPI

Sandra Patricia Garcia DPM PC

  • Public Health & General Preventive Medicine Physician
  • Bronx, NY
National Provider Identifier
1891797890
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
NOO5534 Issued in NY
Legal business name
SANDRA PATRICIA GARCIA DPM PC
Practice address
933 Southern Blvd
Bronx, NY 10459-4507
Phone
(718) 542-0472
Fax
(718) 709-7652
NPI assigned
Aug 10, 2005
Last updated
Mar 21, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SANDRA PATRICIA GARCIA DPM PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Sandra Patricia Garcia, DPMNPI 1992707665
Title
Owner
Phone
(718) 542-0472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X NOO5534 NY Primary

Addresses

Primary practice location

933 Southern Blvd
Bronx, NY 10459-4507

Mailing address

7802 65TH St
Glendale, NY 11385-6804
Phone (718) 542-0472

Other practice location 1

953 Southern Blvd
Ste 204
Bronx, NY 10459-3428
Phone (718) 542-0472

Other identifiers 2

IdentifierTypeStateIssuer
041019OtherNYHEALTH NET
03070082MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050407000163 NY Part B Supplier - Clinic/Group Practice 5991752339 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Flushing, NY; New York, NY; Bronx, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Sandra Patricia Garcia DPM PC

Locations

953 Southern Blvd
Rm 204
Bronx, NY 10459
Phone (718) 542-0472

Practitioners & affiliated clinicians

Practitioners 1

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": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1891797890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 65TH ST",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856804",
            "telephone_number": "718-542-0472",
            "fax_number": "718-893-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594507",
            "telephone_number": "718-542-0472",
            "fax_number": "718-709-7652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "953 Southern Blvd",
            "address_2": "Ste 204",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104593428",
            "country_code": "US",
            "telephone_number": "718-542-0472",
            "fax_number": "718-893-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDRA PATRICIA GARCIA DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDRA PATRICIA GARCIA DPM PC",
        "enumeration_date": "2005-08-10",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-542-0472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "NOO5534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "041019",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03070082",
            "state": "NY"
        }
    ],
    "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 Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.