Active NPI
Brett Gandhi
- Gastroenterology Physician
- Oneida, NY
National Provider Identifier
1114900388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 183530-1
- Practice address
- 301 Genesee St
Oneida, NY 13421-2644 - Phone
- (315) 363-9183
- Fax
- (315) 793-1129
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 183530-1 | NY | Primary |
Addresses
Primary practice location
301 Genesee St
Oneida, NY 13421-2644
Mailing address
301 Genesee St
Oneida, NY 13421-2644
Phone (315) 363-9183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01986878 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183530-1 | NY | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1114900388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GENESEE ST",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134212644",
"telephone_number": "315-363-9183",
"fax_number": "315-793-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GENESEE ST",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134212644",
"telephone_number": "315-363-9183",
"fax_number": "315-793-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "BRETT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "183530-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01986878",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oneida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.