Individual provider Active NPI

Gurjeet K Dhallu, M.D

  • Child & Adolescent Psychiatry Physician
  • Tarrytown, NY
National Provider Identifier
1417097262
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
238022 Issued in NY
Practice address
1 Neperan Rd
Tarrytown, NY 10591-3436
Phone
(646) 228-6202
Fax
(866) 674-7807
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 238022 NY Primary

Addresses

Primary practice location

1 Neperan Rd
Tarrytown, NY 10591-3436

Mailing address

1 Neperan Rd
Tarrytown, NY 10591-3436
Phone (646) 228-6202

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1417097262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NEPERAN RD",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913436",
            "telephone_number": "646-228-6202",
            "fax_number": "866-674-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NEPERAN RD",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913436",
            "telephone_number": "646-228-6202",
            "fax_number": "866-674-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALLU",
        "first_name": "GURJEET",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "238022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.