Healthcare Provider Details

I. General information

NPI: 1194801142
Provider Name (Legal Business Name): SAPNA PANDYA D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 ACADEMY ST STE GLE
NEW YORK NY
10034-5104
US

IV. Provider business mailing address

666 WEST END AVENUE APT.# 12B
NEW YORK NY
10025
US

V. Phone/Fax

Practice location:
  • Phone: 646-991-9000
  • Fax: 212-567-6574
Mailing address:
  • Phone: 646-991-9000
  • Fax: 212-362-0346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005825
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: