Susan Gardiner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

227621 Issued in NY

Practice address

1 Burhans PL
Delmar, NY 12054-1201

Phone

(518) 439-1693

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Susan Gardiner, Psychiatrist,, P.C.

  • Psychiatry Physician
  • Delmar, NY
  • NPI 1194918953
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1356454243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LONGWOOD DR",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543737",
            "telephone_number": "518-475-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BURHANS PL",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541201",
            "telephone_number": "518-439-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "227621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marci Foster, LCSW
• Four Corners Pharmacy LLC (Four Corners Pharmacy)
• Myrna L Friedlander, PHD
• Roy Fruiterman
• Jacqueline A Gaffney, LCSW-R
• Nancy Noble Gardner, LCSW
• Sheila Fulton Gardner, M.D.
• Patrick Chapin Gardocki, D.D.S.
• Jill C Genua, M.D.
• Ghulam Akbari Medicine PLLC

• Psychiatry Physician in Delmar, NY
• Providers in Delmar, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.