Organization Active NPI

Sandra Patricia Garcia DPM PC

  • Podiatrist
  • Flushing, NY
National Provider Identifier
1992853634
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005534 Issued in NY
Legal business name
SANDRA PATRICIA GARCIA DPM PC
Practice address
4331 Kissena Blvd
Street Level
Flushing, NY 11355-2921
Phone
(917) 434-8302
Fax
(718) 709-7652
NPI assigned
Jan 8, 2007
Organization subpart
Yes
Parent organization
SANDRA PATRICIA GARCIA DPM PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 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
(917) 434-8302

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N005534 NY Primary

Addresses

Primary practice location

4331 Kissena Blvd
Street Level
Flushing, NY 11355-2921

Mailing address

7802 65TH St
Glendale, NY 11385-6804
Phone (917) 434-8302

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
This NPI is an additional NPI on the 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

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

4331 Kissena Blvd
Flushing, NY 11355
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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1992853634",
    "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": "917-434-8302",
            "fax_number": "718-709-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 KISSENA BLVD",
            "address_2": "STREET LEVEL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552921",
            "telephone_number": "917-434-8302",
            "fax_number": "718-709-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA PATRICIA GARCIA DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDRA PATRICIA GARCIA DPM PC",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-03-20",
        "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": "917-434-8302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.