Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Sanford, MPAS, PA-C

Individual provider Medical Physician Assistant · NPI 1043632615

Kimberly Sanford, MPAS, PA-C is a Physician Assistant in Roslyn, New York. Qualified in 2013, 13 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Port Washington Blvd
Roslyn, NY 11576
Phone: (516) 562-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 627 W 165th St, New York, NY 10032-3790 — (212) 305-0230
  • 100 Port Washington Blvd, Roslyn, NY 11576 — (516) 562-6000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 016725 (NY)

Record details

NPI number1043632615
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2014
Last updated in NPPESSeptember 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roslyn