Sandra Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SANDRA MEDICAL SUPPLIES INC

Practice address

2177 72ND St
Brooklyn, NY 11204-6002

Phone

(347) 492-7717

Fax

(347) 492-7718

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Flora Fiksman

Title

President

Phone

(347) 492-7717

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Gurevich

  • Specialist
  • Brooklyn, NY
  • NPI 1609321140
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1942743190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046002",
            "telephone_number": "347-492-7717",
            "fax_number": "347-492-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "FIKSMAN",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-492-7717",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04862979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracelynn Sandoval, MS, CCC-SLP
• Juan Sandoval
• Juan Carlos Sandoval
• Nayda Luz Sandoz-Perez, L.M.S.W.
• Arshia Sandozi, DO
• Perri Sands
• Nikole Sanduro
• Latifa Bella Sandvig
• Devon Sandy
• Roxanne Faustina Sandy, RN

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.