Individual provider Active NPI

Nishita R Gandhi, DDS

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1356662787
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055175 Issued in NY
Practice address
586 Morris Ave
Bronx, NY 10451-4744
Phone
(646) 401-7878
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 055175 NY Primary

Addresses

Primary practice location

586 Morris Ave
Bronx, NY 10451-4744

Mailing address

194 Maple CT
Copiague, NY 11726-4443
Phone (917) 496-6032

Other practice location 1

573 E Fordham Rd
Bronx, NY 10458-5063
Phone (917) 496-6032

Other identifiers 1

IdentifierTypeStateIssuer
03328347MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
055175NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Dental Care P.C CurrentSince Apr 6, 2023 Accepting new patients

Locations

2344 Eastchester Rd
Bronx, NY 10469
Phone (646) 401-7878

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1356662787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 MAPLE CT",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264443",
            "telephone_number": "917-496-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514744",
            "telephone_number": "646-401-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "573 E Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104585063",
            "country_code": "US",
            "telephone_number": "917-496-6032",
            "fax_number": "917-962-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "NISHITA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03328347",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.