Individual provider Active NPI

Gary David Swergold, MD

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1659601581
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160310 Issued in NY
Practice address
75 Sheldrake PL
New Rochelle, NY 10804-1116
Phone
(914) 637-1943
Fax
(914) 633-5747
NPI assigned
Dec 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 160310 NY Primary
Clinical Genetics (M.D.) Physician 207SG0201X 160310 NY

Addresses

Primary practice location

75 Sheldrake PL
New Rochelle, NY 10804-1116

Mailing address

75 Sheldrake PL
New Rochelle, NY 10804-1116
Phone (914) 637-1943

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160310NYMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1659601581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SHELDRAKE PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041116",
            "telephone_number": "914-637-1943",
            "fax_number": "914-633-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SHELDRAKE PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041116",
            "telephone_number": "914-637-1943",
            "fax_number": "914-633-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWERGOLD",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "160310",
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NY",
            "license": "160310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.