Jyoti R Gandhi

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

110797 Issued in NY

Practice address

84 25 Elmhurst Ave
Elmhurst, NY 11373-3359

Phone

(718) 457-0500

Fax

(718) 457-0501

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043306921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 25 ELMHURST AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733359",
            "telephone_number": "718-457-0500",
            "fax_number": "718-457-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 25 ELMHURST AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733359",
            "telephone_number": "718-457-0500",
            "fax_number": "718-457-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "JYOTI",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "110797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00198210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas John Gallino
• Sebastian Gallo Bernal, MD
• Eduardo Gambini-Suarez
• Almira Gamboa
• Ian Martinez Gampon, M.D.
• Mysore Sanathkumar Ganga, DDS
• Tulsidai Devi Gangarum
• John Ganiaris
• Meiling Gao
• Audrey Garces, RN

• Pediatrics Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.