Active NPI
Peter Sandor Gardos, PH.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1730682444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 013221
- Practice address
- 3512 Quentin Rd Ste 110
Brooklyn, NY 11234-4245 - Phone
- (347) 860-0149
- NPI assigned
- Mar 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013221 | NY | Primary |
Addresses
Primary practice location
3512 Quentin Rd Ste 110
Brooklyn, NY 11234-4245
Mailing address
1600 Perrineville Rd # 2-345
Monroe Township, NJ 08831-4923
Phone (732) 829-5106
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013221 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1730682444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PERRINEVILLE RD # 2-345",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "088314923",
"telephone_number": "732-829-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 QUENTIN RD STE 110",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344245",
"telephone_number": "347-860-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDOS",
"first_name": "PETER",
"middle_name": "SANDOR",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.