Active NPI
Jayant H Gandhi, MD
- General Practice Physician
- Brooklyn, NY
National Provider Identifier
1235176355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 111281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00199748 | Medicaid | NY | |
| 1235176355 | Other | NY | NPI |
Other names 1
- Dr. Jayant H. Gandhi
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 111281-2 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Street Medical PLLC | Addiction Medicine | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.