Juditho Elma Gadingan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305098-1 Issued in NY

Practice address

4238 Merrick Rd
Massapequa, NY 11758-6016

Phone

(516) 900-1977

Fax

(516) 900-1978

NPI assigned

May 30, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1063305035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 BOULEVARD E APT 2B",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070477903",
            "telephone_number": "344-729-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586016",
            "telephone_number": "516-900-1977",
            "fax_number": "516-900-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADINGAN",
        "first_name": "JUDITHO",
        "middle_name": "ELMA",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305098-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulton Medical, P.C.
• Nicole Furey
• Jake Diego Furnari
• Jarred Fusco
• Jennifer M Fydell, MSED
• Victoria Gaitings
• Marc B. Galloway, L.C.S.W.
• Connor Joseph Games
• Annette Gannon, COTA
• Suzette Garcia Rennella, MS

• Licensed Practical Nurse in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.