Active NPI
Charles Joseph Kandler, M.D.
- Urology Physician
- Rockville Centre, NY
National Provider Identifier
1598756843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 136196
- Practice address
- 200 N Village Ave
Suite 300
Rockville Centre, NY 11570-2341 - Phone
- (516) 766-2929
- Fax
- (516) 766-7728
- NPI assigned
- Nov 3, 2005
- Last updated
- Feb 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 136196 | NY | Primary |
Addresses
Primary practice location
200 N Village Ave
Suite 300
Rockville Centre, NY 11570-2341
Mailing address
200 N Village Ave
Suite 300
Rockville Centre, NY 11570-2341
Phone (516) 766-2929
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340004031 | Other | NY | RAIL ROAD MEDICARE |
| CK097A8910 | Other | NY | BLUE CROSS BLUE SHIELD |
| 096588-A32 | Other | HEALTH FIRST | |
| 21138 | Other | VYTRA | |
| 113480 | Other | AETNA | |
| 136196 | Other | HIP | |
| 2C7197 | Other | CARE CORE | |
| AB00723 | Other | MNDY | |
| AS1074 | Other | OXFORD | |
| 2C7197 | Other | HEALTH NET | |
| 5252217001 | Other | CIGNA | |
| 1000374 | Other | GHI | |
| 000000068633 | Other | GHI HMO |
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": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1598756843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N VILLAGE AVE",
"address_2": "SUITE 300",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115702341",
"telephone_number": "516-766-2929",
"fax_number": "516-766-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N VILLAGE AVE",
"address_2": "SUITE 300",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115702341",
"telephone_number": "516-766-2929",
"fax_number": "516-766-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDLER",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "136196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "340004031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "CK097A8910",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "096588-A32",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "21138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "113480",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "136196",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CORE",
"identifier": "2C7197",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNDY",
"identifier": "AB00723",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AS1074",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2C7197",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5252217001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1000374",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000068633",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.