Individual provider Active NPI

Gaurav M. Chandra, M.D.

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • New York, NY
National Provider Identifier
1497166730
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
294143 Issued in NY
Practice address
114 E 27TH St
New York, NY 10016-8969
Phone
(855) 295-4144
Fax
(212) 889-9058
NPI assigned
May 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 294143 NY
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 294143 NY Primary
Ophthalmology Physician 207W00000X 294143 NY

Addresses

Primary practice location

114 E 27TH St
New York, NY 10016-8969

Mailing address

10 Heritage CT
Greenvale, NY 11548-1109
Phone (516) 695-8274

Other practice location 1

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1042

Other practice location 2

450 Mamaroneck Ave
Harrison, NY 10528-2400
Phone (855) 295-4144

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823001674 NY Practitioner - Ophthalmology 6103045513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-8118

1 Gustave Levy Place
New York, NY 10029-6500
Phone 212241811848118

310 E 14TH St
Opthalmology Department of Mount Sinai
New York, NY 10003-4201
Phone (212) 241-0939

450 Mamaroneck Ave
Suite 402
Harrison, NY 10528-2430
Phone (855) 295-4144

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Sep 15, 2019 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Sep 15, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Aug 20, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Aug 20, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Apr 28, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 28, 2019 Accepting new patients

Locations

902 49th St
Brooklyn, NY 11219
Phone (718) 283-7999

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

450 Mamaroneck Ave
Ste 402
Harrison, NY 10528
Phone (914) 949-9200

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

1229 Broadway
Ste 210
Hewlett, NY 11557
Phone (516) 239-6789

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

218 2nd Ave
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

114 E 27th St
New York, NY 10016
Phone (212) 481-4000

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

1 Executive Blvd
#3
Yonkers, NY 10701

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1497166730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HERITAGE CT",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481109",
            "telephone_number": "516-695-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 27TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168969",
            "telephone_number": "855-295-4144",
            "fax_number": "212-889-9058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Mamaroneck Ave",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NY",
            "postal_code": "105282400",
            "country_code": "US",
            "telephone_number": "855-295-4144",
            "fax_number": "914-949-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "GAURAV",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "294143",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "NY",
            "license": "294143",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "294143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.