MRS. SANDRA SHIVAMBER FNP
NPI 1265741292
Nurse Practitioner - Family in Lake Success, NY

Q: What is Sandra Shivamber's NPI number?

The NPI number for Sandra Shivamber is 1265741292. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Q: What is Sandra Shivamber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Shivamber was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 24, 2010PECOS Enrolled

1991 MARCUS AVE, SUITE M107, LAKE SUCCESS, NY 11042(516) 222-2288(516) 745-0976 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Sandra Shivamber Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SANDRA SHIVAMBER FNP (NPI 1265741292) is an individual family provider in Lake Success, New York, licensed in New York (F335980-1) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265741292

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SANDRA SHIVAMBERCredential: FNP

Location Address1991 MARCUS AVE, SUITE M107Lake Success, NY 11042

Mailing Address1991 Marcus Ave, M107Lake Success, NY 11042 · (516) 222-2288 · Fax (516) 745-0976

Phone(516) 222-2288

Fax(516) 745-0976

Sole ProprietorYes

Enumeration DateSeptember 24, 2010

Last NPPES UpdateSeptember 13, 2011

✔ NPI 1265741292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NY · F335980-1✔ Licensed in NY · 335980

1991 MARCUS AVE, Lake Success, NY 11042

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sandra Shivamber Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sandra Shivamber reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore Long Island Jewish Health Care Inc

2.3 mi

Orthopaedic Surgery

825 NORTHERN BLVD, SUITE 201
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Northwell Healthcare Inc
211 clinicians in this Medicare group

NPI 1487082657 (516) 773-7500

Plainview Faculty Medical Affiliates, University Faculty Prac

11 mi

Physician Assistant

888 OLD COUNTRY RD
Plainview, NY 11803

Reassigned Medicare billing, New York enrollment
27 clinicians in this Medicare group

NPI 1730925843 (516) 719-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOB CHANG

Physical Therapist

1991 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 467-8730

CARYLANN HADJIYANE M.D.

Internal Medicine (Gastroenterology)

1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042

Nassau County (516) 365-4949

NINA SKARIA NP

Pediatrics (Pediatric Rheumatology)

1991 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 472-3700

JOAN STERRETT LMSW

Social Worker

1991 MARCUS AVE, M201
NEW HYDE PARK, NY 11042

Nassau County (718) 484-5000

MRS. JESSICA MARIE MENNELLA AGPCNP-C

Nurse Practitioner (Adult Health)

1991 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (646) 680-4081

EUGENE S BONAPACE JR. M.D.

Internal Medicine (Gastroenterology)

1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042

Nassau County (516) 365-4949

DR. TONI WEBSTER D.O.

Student in an Organized Health Care Education/Training Program

1991 MARCUS AVE, M100
LAKE SUCCESS, NY 11042

Nassau County (516) 472-3650

DR. REENA LOONA MD

Internal Medicine

1991 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 354-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Shivamber's NPI number?

The NPI number for Sandra Shivamber is 1265741292. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Where is Sandra Shivamber located?

Sandra Shivamber practices at 1991 Marcus Ave Suite M107, Lake Success, NY 11042. The listed phone number is (516) 222-2288.

What is Sandra Shivamber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sandra Shivamber enrolled in Medicare?

Yes. Sandra Shivamber is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandra Shivamber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Shivamber reassigns Medicare benefits to 2 organizations: North Shore Long Island Jewish Health Care Inc (Great Neck, NY) and Plainview Faculty Medical Affiliates, University Faculty Prac (Plainview, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Shivamber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandra Shivamber was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.