Individual provider Active NPI

Charles Joseph Kandler, M.D.

  • Urology Physician
  • Rockville Centre, NY
National Provider Identifier
1598756843
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
136196 Issued in NY
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
340004031OtherNYRAIL ROAD MEDICARE
CK097A8910OtherNYBLUE CROSS BLUE SHIELD
096588-A32OtherHEALTH FIRST
21138OtherVYTRA
113480OtherAETNA
136196OtherHIP
2C7197OtherCARE CORE
AB00723OtherMNDY
AS1074OtherOXFORD
2C7197OtherHEALTH NET
5252217001OtherCIGNA
1000374OtherGHI
000000068633OtherGHI 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.

Verify at the official NPI Registry.