=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134534118
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR SAPNA PANDYA DPM PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2014
-----------------------------------------------------
Last Update Date | 10/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 765 AMSTERDAM AVE SUITE 1F
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10025-5722
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-258-4143
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 666 W END AVE APT 12B
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10025-1449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-991-9000
-----------------------------------------------------
Fax | 212-567-6574
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SAPNA PANDYA
-----------------------------------------------------
Credential | D.P.M.
-----------------------------------------------------
Telephone | 646-991-9000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0131X
-----------------------------------------------------
Taxonomy Name | Foot Surgery Podiatrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------