Individual provider Active NPI

Gwen Jagde, M.S. EDUCATION

  • Specialist
  • Ardsley, NY
National Provider Identifier
1043687585
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
887600 Issued in NY
Practice address
12 Morningside Rd
Ardsley, NY 10502-1417
Phone
(914) 329-8061
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 887600 NY Primary

Addresses

Primary practice location

12 Morningside Rd
Ardsley, NY 10502-1417

Mailing address

12 Morningside Rd
Ardsley, NY 10502-1417
Phone (914) 329-8061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
887600NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1043687585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MORNINGSIDE RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021417",
            "telephone_number": "914-329-8061",
            "fax_number": "914-674-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MORNINGSIDE RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021417",
            "telephone_number": "914-329-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGDE",
        "first_name": "GWEN",
        "name_prefix": "Mrs.",
        "credential": "M.S. EDUCATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "887600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.