Active NPI
Gerald J. Cordani, M.D.
- Internal Medicine Physician
- Huntington, NY
National Provider Identifier
1699785121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 109769-1
- Practice address
- 325 Park Ave
Huntington, NY 11743-2779 - Phone
- (631) 351-3778
- Fax
- (631) 351-3726
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 109769-1 | NY | Primary |
Addresses
Primary practice location
325 Park Ave
Huntington, NY 11743-2779
Mailing address
325 Park Ave
Huntington, NY 11743-2779
Phone (631) 351-3778
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP085 | Other | NY | OXFORD |
| 2C4887 | Other | NY | HEALTHNET |
| 00397517 | Medicaid | NY | |
| 2512438 | Other | NY | GHI |
| 908681 | Other | NY | BLUE CROSS/ BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109769-1 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1699785121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432779",
"telephone_number": "631-351-3778",
"fax_number": "631-351-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432779",
"telephone_number": "631-351-3778",
"fax_number": "631-351-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDANI",
"first_name": "GERALD",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "109769-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "CP085",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C4887",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00397517",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2512438",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "908681",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.