Active NPI
Gannel Jean-Pierre
- Adult Health Nurse Practitioner
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 12004306
- Practice address
- 382 High Ridge Rd
Stamford, CT 06905-3019 - Phone
- (203) 219-7896
- NPI assigned
- Feb 4, 2010
- Last updated
- Feb 4, 2010
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 12004306 | CT | Primary |
Addresses
Primary practice location
382 High Ridge Rd
Stamford, CT 06905-3019
Mailing address
382 High Ridge Rd
Stamford, CT 06905-3019
Phone (203) 219-7896
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004306 | CT | MD | Mental Health Counselor |
| 4306 | CT | MD | Dentist |
| 336921 | NY | MD | Licensed Practical Nurse |
| 12004306 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| New York General Medical Services PC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
4241 201st St
Flushing, NY 11361
Phone (516) 599-5688
2090 Albany Post Rd
Montrose, NY 10548
420 E 76th St
New York, NY 10021
Phone (212) 434-5300
17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300
1 Elsie St
Rome, NY 13440
Phone (315) 336-4435
101 Elm St
Sayville, NY 11782
Phone (631) 244-2400
2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1275962011
-
- Hospitalist Physician
- New York, NY
- NPI 1700315538
-
- Primary Care Clinic/Center
- Bronx, NY
- NPI 1033718085
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1902224520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1336471184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053019",
"telephone_number": "203-219-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053019",
"telephone_number": "203-219-7896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-PIERRE",
"first_name": "GANNEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-04",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "12004306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.