Individual provider Active NPI

Gary M Giardina, RPA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1689831554
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004761 Issued in NY
Practice address
2900 Bedford Ave
114 Roosevelt
Brooklyn, NY 11210-2850
Phone
(718) 951-5580
Fax
(718) 951-5869
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004761 NY Primary

Addresses

Primary practice location

2900 Bedford Ave
114 Roosevelt
Brooklyn, NY 11210-2850

Mailing address

2900 Bedford Ave
114 Roosevelt
Brooklyn, NY 11210-2850
Phone (718) 951-5580

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

Interoperability endpoints

  • Direct secure messaging: gary.giardina.1@14367.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1689831554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BEDFORD AVE",
            "address_2": "114 ROOSEVELT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102850",
            "telephone_number": "718-951-5580",
            "fax_number": "718-951-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BEDFORD AVE",
            "address_2": "114 ROOSEVELT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102850",
            "telephone_number": "718-951-5580",
            "fax_number": "718-951-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARDINA",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.