Individual provider Active NPI

Christi Nicholas Gandham, D.O.

  • Family Medicine Physician
  • Hartsdale, NY
National Provider Identifier
1497193353
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
276178 Issued in NY
Practice address
359 N Central Ave
Hartsdale, NY 10530-1811
Phone
(914) 448-2273
Fax
(914) 448-2200
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 276178 NY Primary

Addresses

Primary practice location

359 N Central Ave
Hartsdale, NY 10530-1811

Mailing address

359 N Central Ave
Hartsdale, NY 10530-1811
Phone (914) 448-2273

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
I20150108001549 NY Practitioner - Family Practice 5193048650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

1950 Jericho Tpke
East Northport, NY 11731-6207
Phone (631) 238-3065

2640 Merrick Rd
Bellmore, NY 11710-5715
Phone (516) 537-9064

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

4119 Bell Blvd
Bayside, NY 11361-2858
Phone (929) 373-4480

5828 99TH St
Corona, NY 11368-4306
Phone (718) 502-9867

5828 99TH St Corona
Corona, NY 11368-4306
Phone (718) 502-9867

595 Hempstead Tpke
Suite a
West Hempstead, NY 11552-1030
Phone (347) 493-2952

603 E Main St
B
Bay Shore, NY 11706-8505
Phone (631) 238-3064

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276178NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physician of New York-Hartsdale PLLC CurrentSince Nov 1, 2014 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Nov 16, 2015 Accepting new patients

Locations

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

359 N Central Ave
Hartsdale, NY 10530
Phone (914) 448-2273

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

Interoperability endpoints

  • Direct secure messaging: christi.gandham@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: christi.gandham.1@15450.direct.athenahealth.com

Organizations & group practices 2

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1497193353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 N CENTRAL AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301811",
            "telephone_number": "914-448-2273",
            "fax_number": "914-448-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N CENTRAL AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301811",
            "telephone_number": "914-448-2273",
            "fax_number": "914-448-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHAM",
        "first_name": "CHRISTI",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "276178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.