Individual provider Active NPI

Gerard Ardoin, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1073000550
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
316009 Issued in NY
Practice address
10 Nathan D Perlman PL
New York, NY 10003-3841
Phone
(212) 420-2000
Fax
(212) 420-3442
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME162429 FL
Psychiatry Physician 2084P0800X 316009 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

10 Nathan D Perlman PL
New York, NY 10003-3841

Mailing address

10 Nathan D Perlman PL FL 7
New York, NY 10003-3841
Phone (212) 420-2000

Other practice location 1

1650 S Osprey Ave
Sarasota, FL 34239-2928
Phone (941) 917-7760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616001369 FL Practitioner - Psychiatry 2769856467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME162429FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc Psychiatry CurrentSince Aug 7, 2023 Accepting new patients

Locations

2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1650 S Osprey Ave
Sarasota, FL 34239
Phone (941) 917-7182

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1073000550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NATHAN D PERLMAN PL FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033841",
            "telephone_number": "212-420-2000",
            "fax_number": "212-420-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NATHAN D PERLMAN PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033841",
            "telephone_number": "212-420-2000",
            "fax_number": "212-420-3442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 S Osprey Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392928",
            "country_code": "US",
            "telephone_number": "941-917-7760",
            "fax_number": "941-917-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARDOIN",
        "first_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME162429",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "316009",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.