Organization Active NPI

David Gandler, M.D., P.C.

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1710282363
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
147222 Issued in NY
Legal business name
DAVID GANDLER, M.D., P.C.
Practice address
12 E 88TH St
Suite GRB
New York, NY 10128-0535
Phone
(212) 410-5888
Fax
(212) 410-5888
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Dr. David Gandler, M.D.NPI 1609953934
Title
President
Phone
(212) 410-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 147222 NY Primary

Addresses

Primary practice location

12 E 88TH St
Suite GRB
New York, NY 10128-0535

Mailing address

12 E 88TH St
Suite GRB
New York, NY 10128-0535
Phone (212) 410-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000870 NY Part B Supplier - Clinic/Group Practice 8224219746 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

12 E 88th St
Apt Grb
New York, NY 10128
Phone (212) 410-5888

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1710282363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 88TH ST",
            "address_2": "SUITE GRB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280535",
            "telephone_number": "212-410-5888",
            "fax_number": "212-410-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 88TH ST",
            "address_2": "SUITE GRB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280535",
            "telephone_number": "212-410-5888",
            "fax_number": "212-410-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GANDLER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "GANDLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-410-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "147222",
            "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 Jan 12, 2011; 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.

Verify at the official NPI Registry.