Individual provider Active NPI

Jayant H Gandhi, MD

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1235176355
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
111281 Issued in NY
Practice address
247 Grand St
Brooklyn, NY 11211-4302
Phone
(718) 782-4768
Fax
(718) 782-3677
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 111281 NY
Surgery Physician 208600000X 111281 NY
General Practice Physician 208D00000X 111281-2 NY
Adult Medicine Physician 207QA0505X 111281 NY
General Practice Physician 208D00000X 111281 NY Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 111281 NY

Addresses

Primary practice location

247 Grand St
Brooklyn, NY 11211-4302

Mailing address

80 E End Ave Apt 14B
New York, NY 10028-8017
Phone (212) 734-9031

Other identifiers 2

IdentifierTypeStateIssuer
00199748MedicaidNY
1235176355OtherNYNPI

Other names 1

  • Dr. Jayant H. Gandhi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070816000611 NY Practitioner - General SurgeryPractitioner - Internal MedicinePractitioner - Family Practice 3779675020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice, Internal Medicine
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

666 Grand St
Brooklyn, NY 11211-4853
Phone (718) 963-0555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111281-2NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Street Medical PLLC Addiction Medicine CurrentSince May 18, 2001 Accepting new patients

Locations

247 Grand St
Brooklyn, NY 11211
Phone (718) 208-4577

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADAGBA/Endpoint/ADAGBA

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1235176355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E END AVE APT 14B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288017",
            "telephone_number": "212-734-9031",
            "fax_number": "718-782-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114302",
            "telephone_number": "718-782-4768",
            "fax_number": "718-782-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "JAYANT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "111281",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "111281",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "111281-2",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "111281",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "111281",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "111281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00199748",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235176355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYANT",
            "last_name": "GANDHI",
            "middle_name": "H.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.