Active NPI
Miriam Gendy, PHARMD
- Pharmacist
- Ridgewood, NY
National Provider Identifier
1699228809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061023
- Practice address
- 389 Onderdonk Ave
Ridgewood, NY 11385-1336 - Phone
- (718) 381-3622
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03769400 | NJ | |
| Pharmacist | 183500000X | 061023 | NY | Primary |
Addresses
Primary practice location
389 Onderdonk Ave
Ridgewood, NY 11385-1336
Mailing address
180 Forest Ave Apt 206
Hawthorne, NJ 07506-2377
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03769400 | NJ | MD | Pharmacist |
| 061023 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1699228809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 FOREST AVE APT 206",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075062377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 ONDERDONK AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113851336",
"telephone_number": "718-381-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDY",
"first_name": "MIRIAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03769400",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.