Gayathri Kodiyalam

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103035 Issued in NY

Practice address

79 Walker St FL 2
New York, NY 10013-3981

Phone

(212) 337-3565

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Gaya Kodiyalam Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1710546791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 34TH ST APT 505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164772",
            "telephone_number": "908-477-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WALKER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133981",
            "telephone_number": "212-337-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODIYALAM",
        "first_name": "GAYATHRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gk@rennickeassociates.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "79 Walker St Fl 2",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100133981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GAYA",
            "last_name": "KODIYALAM",
            "prefix": "MISS",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kailee Ryoko Kodama Muscente, MA, MED
• Rich Toshio Kodama, DO
• Parul Kodan
• Hemal Kodikara, MBCHB
• Hima Bindu Kodishala
• Rosy Priya Lawrence Kodiyanplakkal, M.D.
• Arber Kodra, MD
• Mariam Kodsy
• Sanghamitra Kodukula, RN, BSN, MSN
• Sunaina Koduru, MD

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.