Active NPI
Ellen C. Gendler, M.D., P.C.
- Dermatology Physician
- New York, NY
National Provider Identifier
1659573293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 150962
- Legal business name
- ELLEN C. GENDLER, M.D., P.C.
- Practice address
- 1035 5TH Ave
New York, NY 10028-0135 - Phone
- (212) 288-8222
- Fax
- (212) 988-9640
- NPI assigned
- Jun 5, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. Ellen Caryn Gendler, M.D.
- Title
- President
- Phone
- (212) 288-8222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 150962 | NY | Primary |
Addresses
Primary practice location
1035 5TH Ave
New York, NY 10028-0135
Mailing address
1035 5TH Ave
New York, NY 10028-0135
Phone (212) 288-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- New York, NY
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- Spokane, WA
- NPI 1396155297
Dermatology, NY
-
- Dermatology Physician
- New York, NY
- NPI 1891997409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659573293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280135",
"telephone_number": "212-288-8222",
"fax_number": "212-988-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280135",
"telephone_number": "212-288-8222",
"fax_number": "212-988-9640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLEN C. GENDLER, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GENDLER",
"authorized_official_first_name": "ELLEN",
"authorized_official_middle_name": "CARYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-288-8222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NY",
"license": "150962",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.