SANDRA RAE PA-C
NPI 1679216477
Physician Assistant in New York, NY

Active since April 19, 2022PECOS Enrolled
134 E 93RD ST, NEW YORK, NY 10128(212) 595-5012 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2026, Jun 18, 2025, Apr 19, 2022 (3 updates tracked since 2022).

About Sandra Rae Pa-c NPPES

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

SANDRA RAE PA-C (NPI 1679216477) is an individual physician assistant in New York, New York, licensed in New Jersey (25MP00693700) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1679216477
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSANDRA RAECredential: PA-C
Location Address134 E 93RD STNew York, NY 10128-1635
Mailing Address134 Broadway Fl 4Brooklyn, NY 11249-6233
Sole ProprietorNo
Enumeration DateApril 19, 2022
Last NPPES UpdateFebruary 7, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
NPI 1679216477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00693700
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
134 E 93RD ST, New York, NY 10128

Secondary Practice Location 1

Location 1134 Broadway Fl 4Brooklyn, NY 11249-6233 · Phone (646) 347-6704

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sandra Rae Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 6

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

Orthopaedic Surgery
134 E 93RD ST
NEW YORK, NY 10128
Obstetrics & Gynecology
134 E 93RD ST, 2ND FLOOR
NY, NY 10128
Psychiatry & Neurology (Psychiatry)
134 E 93RD ST, 12A
NEW YORK, NY 10128
Obstetrics & Gynecology
134 E 93RD ST
NEW YORK, NY 10128
Physical Therapist
134 E 93RD ST
NEW YORK, NY 10128
Obstetrics & Gynecology
134 E 93RD ST, 2ND FL.
NEW YORK, NY 10128

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 Rae's NPI number?

The NPI number for Sandra Rae is 1679216477. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Sandra Rae located?

Sandra Rae practices at 134 E 93rd St, New York, NY 10128. The listed phone number is (212) 595-5012.

What is Sandra Rae's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sandra Rae enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sandra Rae was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.