Active NPI
Gerald Pekler, M.D.
- Cardiovascular Disease Physician
- Kew Gardens, NY
National Provider Identifier
1720090673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 144419
- Practice address
- 12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1519 - Phone
- (718) 261-0444
- Fax
- (718) 261-0940
- NPI assigned
- Aug 12, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 144419 | NY | Primary |
Addresses
Primary practice location
12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1519
Mailing address
12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1519
Phone (718) 261-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00792663 | Medicaid | NY |
Other names 1
- Marian David
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Bard Cardiology Associates, PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
45 Research Way
Ste 206
Setauket, NY 11733
Phone (631) 575-9300
Interoperability endpoints
- gpekler839722@nychhc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Cardiovascular Disease Physician
- Staten Island, NY
- NPI 1366513152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1720090673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12510 QUEENS BLVD",
"address_2": "SUITE 2701",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151519",
"telephone_number": "718-261-0444",
"fax_number": "718-261-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 QUEENS BLVD",
"address_2": "SUITE 2701",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151519",
"telephone_number": "718-261-0444",
"fax_number": "718-261-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKLER",
"first_name": "GERALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "144419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00792663",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAN",
"last_name": "DAVID",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.