Active NPI
Alan R Sandberg, MD
- Gastroenterology Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 158140
- Practice address
- 915 Hillside Ave
New Hyde Park, NY 11040-2529 - Phone
- (347) 236-3163
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | 158140 | NY | |
| Gastroenterology Physician | 207RG0100X | 158140 | NY | Primary |
Addresses
Primary practice location
915 Hillside Ave
New Hyde Park, NY 11040-2529
Mailing address
162 Lenox Rd
West Babylon, NY 11704-4041
Phone (516) 404-0829
Other practice location 1
2001 Marcus Ave Ste W260
New Hyde Park, NY 11042-1071
Phone (516) 437-9660
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76617 | Other | NY | VYTRA SPECIALITY GI |
| 03E451 | Other | NY | BCBS |
| 2C8127 | Medicaid | NY | |
| 500936 | Other | NY | USHC SPECALITY GI |
| AP817 | Other | NY | OXFORD |
| 12423P | Other | NY | HIP |
| 41418 | Other | NY | VYTRA |
| 470563 | Other | NY | USHC INTERNAL MED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- State University of New York at Stony Brook, School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11014 Jamaica Ave
Richmond Hill, NY 11418-2320
Phone (516) 750-8000
1575 Hillside Ave
New Hyde Park, NY 11040-2501
Phone (516) 750-8000
380 S Broadway
Hicksville, NY 11801-5033
Phone (516) 750-8000
Hospital & facility affiliations
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 75 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 78 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Disease Care, PC | Gastroenterology | Current | Accepting new patients |
Locations
380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000
366 N Broadway
Ste LW2
Jericho, NY 11753
Phone (516) 407-7395
150 Broadhollow Rd
Ste 120
Melville, NY 11747
Phone (631) 450-1400
2001 Marcus Ave
Ste W260
New Hyde Park, NY 11042
Phone (516) 358-9007
1991 Marcus Ave
Ste M202
New Hyde Park, NY 11042
Phone (516) 204-4242
1991 Marcus Ave
Ste M200
New Hyde Park, NY 11042
Phone (516) 204-4242
1061 N Broadway
Ste 2
North Massapequa, NY 11758
Phone (516) 420-4300
915 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 437-9000
11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747
235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- asandberg@long.curemd.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- East Setauket, NY
- NPI 1184871774
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1982706446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 LENOX RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117044041",
"telephone_number": "516-404-0829",
"fax_number": "516-466-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 HILLSIDE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402529",
"telephone_number": "347-236-3163"
}
],
"practiceLocations": [
{
"address_1": "2001 Marcus Ave Ste W260",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110421071",
"country_code": "US",
"telephone_number": "516-437-9660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDBERG",
"first_name": "ALAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "NY",
"license": "158140",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "158140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA SPECIALITY GI",
"identifier": "76617",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "03E451",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2C8127",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC SPECALITY GI",
"identifier": "500936",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AP817",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "12423P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "41418",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC INTERNAL MED",
"identifier": "470563",
"state": "NY"
}
],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.