Active NPI
Sumir Gandhi, DDS
- Dentist
- New York, NY
National Provider Identifier
1558047704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 000160-01
- Practice address
- 345 E 24TH St
New York, NY 10010-4020 - Phone
- (212) 998-9800
- NPI assigned
- Jun 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22D103042700 | NJ | |
| Dentist | 122300000X | 14244 | CT | |
| Dentist | 122300000X | 110297 | CA | |
| Dentist | 122300000X | 000160-01 | NY | Primary |
Addresses
Primary practice location
345 E 24TH St
New York, NY 10010-4020
Mailing address
5 Peter Cooper Rd Apt 9D
New York, NY 10010-6630
Phone (640) 204-5154
Other practice location 1
345 E 24th St
New York, NY 10010-4020
Phone (212) 998-9800
Other practice location 2
2733 Elk Grove Blvd
Elk Grove, CA 95758-7165
Phone (640) 204-5154
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110297 | CA | MD | Dentist |
| 22D103042700 | NJ | MD | Dentist |
| 000160-01 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1558047704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PETER COOPER RD APT 9D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106630",
"telephone_number": "640-204-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E 24TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104020",
"telephone_number": "212-998-9800"
}
],
"practiceLocations": [
{
"address_1": "345 E 24th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100104020",
"country_code": "US",
"telephone_number": "212-998-9800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2733 Elk Grove Blvd",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "957587165",
"country_code": "US",
"telephone_number": "640-204-5154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDHI",
"first_name": "SUMIR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-23",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D103042700",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "14244",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110297",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "000160-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.