Individual provider Active NPI

Christian Sander Geannette, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1356503775
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
255229-1 Issued in NY
Practice address
525 E 68TH St
New York, NY 10065-4870
Phone
(201) 835-0517
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 255229-1 NY Primary

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065-4870

Mailing address

435 E 70TH St
Apartment 18E
New York, NY 10021-5342
Phone (201) 835-0517

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cgeannette35468@direct.HSS.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ, FL, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20150902002196 NY Practitioner - Diagnostic Radiology 9032333570 Reassigns benefits to 2 organizations
I20161102000617 CT Practitioner - Diagnostic Radiology 9032333570 Reassigns benefits to 2 organizations
I20170119002094 NJ Practitioner - Diagnostic Radiology 9032333570 Reassigns benefits to 1 organization
I20200213001624 FL Practitioner - Diagnostic Radiology 9032333570 Reassigns benefits to 1 organization
I20201231000970 NC Practitioner - Diagnostic Radiology 9032333570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSS-Florida Physicians LLCGroup PAC ID 5991032369, 60 clinicians

Practice addresses (Care Compare)

1 Blachley Rd
Stamford, CT 06902-0002
Phone (203) 705-2400

106 Oxmoor PL
Wilmington, NC 28403-0138
Phone (212) 606-1015

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511

140 E Ridgewood Ave
Suite 175S
Paramus, NJ 07652-3917
Phone (201) 599-8000

15 E Midland Ave
Paramus, NJ 07652-2938
Phone (212) 606-1015

168 39TH St
Brooklyn, NY 11232-2549
Phone (212) 774-2474

300 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2711
Phone (561) 657-4600

535 E 70TH St
New York, NY 10021-4823
Phone (212) 774-7296

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255229-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSS-Florida Physicians LLC CurrentSince Jan 6, 2020 Accepting new patients
Ny Society for the Relief of the Ruptured & Crippled Diagnostic Radiology CurrentSince Jul 20, 2015 Accepting new patients
New York Society for the Relief of Ruptured and Crippled Maintaining T Past Accepting new patients

Locations

1 Blachley Rd
Stamford, CT 06902
Phone (203) 276-2277

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

140 E Ridgewood Ave
Ste 175S
Paramus, NJ 07652
Phone (201) 599-8000

140 E Ridgewood Ave
Paramus, NJ 07652
Phone (212) 606-1844

168 39th St
Brooklyn, NY 11232
Phone (212) 774-2474

17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474

17660 Union Tpke
Ste 190
Fresh Meadows, NY 11366
Phone (718) 591-5693

Gpo 5058
New York, NY 10087

535 E 70th St
New York, NY 10021

333 Earle Ovington Blvd
Ste 106
Uniondale, NY 11553
Phone (212) 606-1136

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: cgeannette35468@direct.hss.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1356503775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E 70TH ST",
            "address_2": "APARTMENT 18E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215342",
            "telephone_number": "201-835-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "201-835-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEANNETTE",
        "first_name": "CHRISTIAN",
        "middle_name": "SANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "255229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgeannette35468@direct.HSS.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.