Active NPI
Gandelman Cardiology, PC
- Cardiovascular Disease Physician
- Greenwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- GANDELMAN CARDIOLOGY, PC
- Practice address
- 81 Holly Hill LN FL 3
Greenwich, CT 06830-2945 - Phone
- (203) 869-5515
- Fax
- (203) 869-5765
- NPI assigned
- Sep 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn Gandelman, M.D.
- Title
- President
- Phone
- (203) 869-5515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
81 Holly Hill LN FL 3
Greenwich, CT 06830-2945
Mailing address
81 Holly Hill LN FL 3
Greenwich, CT 06830-2945
Phone (203) 869-5515
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | glenngandelman@gca.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2262550 | Gandelman Cardiology, PC | Certificate of waiver | Jun 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
181 Clifton St
New Haven, CT 06513
Phone (203) 467-1666
Interoperability endpoints
- glenngandelman@gca.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Avon, CT
- NPI 1528170198
-
- Physician Assistant
- Greenwich, CT
- NPI 1740320092
-
- Internal Medicine Physician
- Greenwich, CT
- NPI 1073734935
-
- Physician Assistant
- Greenwich, CT
- NPI 1578236832
-
- Family Nurse Practitioner
- Hopewell Junction, NY
- NPI 1770103327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1629264353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HOLLY HILL LN FL 3",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068302945",
"telephone_number": "203-869-5515",
"fax_number": "203-869-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HOLLY HILL LN FL 3",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068302945",
"telephone_number": "203-869-5515",
"fax_number": "203-869-5765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GANDELMAN CARDIOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-17",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "GANDELMAN",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-869-5515",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "glenngandelman@gca.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "81 Holly Hill Ln Fl 3",
"city": "Greenwich",
"state": "CT",
"country_code": "US",
"postal_code": "068302945",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.