Individual provider Active NPI

Sandra Patricia Garcia

  • Foot Surgery Podiatrist
  • Bronx, NY
National Provider Identifier
1992707665
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N496005534 Issued in NY
Practice address
933 Southern Blvd
Bronx, NY 10459-4507
Phone
(718) 542-0472
Fax
(718) 709-7652
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N496005534 NY Primary

Addresses

Primary practice location

933 Southern Blvd
Bronx, NY 10459-4507

Mailing address

933 Southern Blvd
Bronx, NY 10459-4507
Phone (718) 542-0472

Other identifiers 1

IdentifierTypeStateIssuer
01977848MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040821000206 NY Practitioner - Podiatry 0244229268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians

Practice addresses (Care Compare)

139 Haven Ave
New York, NY 10032-1131
Phone (718) 542-0472

4331 Kissena Blvd
Flushing, NY 11355-2921
Phone (718) 542-0472

827 11TH Ave
New York, NY 10019-3535
Phone (212) 369-5566

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue32
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005534NYMDAcupuncturist
N496005534NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Patricia Garcia DPM PC CurrentSince Aug 2, 2002 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Oct 1, 2022 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients
Niranjan K Mittal, Physician, PLLC PastSince Oct 1, 2022 Accepting new patients
New York Medical and Cardiovascular Services, PC Past Accepting new patients
Comprehensive Healhtcare and Medical Services PLLC Past Accepting new patients
Brooklyn Medical Associate, LFPC Past Accepting new patients

Locations

933 Southern Blvd
Bronx, NY 10459
Phone (718) 542-0472

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

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

4331 Kissena Blvd
Flushing, NY 11355
Phone (718) 542-0472

827 11th Ave
New York, NY 10019
Phone (212) 257-9778

139 Haven Ave
New York, NY 10032
Phone (212) 740-1270

2315 3rd Ave
New York, NY 10035
Phone (212) 369-5566

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1992707665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594507",
            "telephone_number": "718-542-0472"
        },
        {
            "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": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SANDRA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N496005534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01977848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.