Jenom Gandu

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

4920 S 65TH St
Lincoln, NE 68516-1906

Phone

(402) 730-8738

NPI assigned

Jan 13, 2025

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2025.

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1033929989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 S 83RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163930",
            "telephone_number": "402-730-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 S 65TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161906",
            "telephone_number": "402-730-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDU",
        "first_name": "JENOM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo Gammaitoni
• Anita Ann Gammel
• Emma Marie Gammel
• Aiswary Ganapathy Devendra Rajan, CMFT, LMHP, LIMHP
• Nicole Gandara
• Deepak M Gangahar, MD
• Ikhlas Gangra
• Megan Gangwish, CRNA
• Alexandra Ganow
• Brandi Nicole Gansebom

• All providers in Lincoln, NE
• Contractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.