Active NPI
Vivian Marie Gandy, M.D.
- Family Medicine Physician
- Miami Beach, FL
National Provider Identifier
1760638464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD044997E
- Practice address
- 300 71St St
Suite 620
Miami Beach, FL 33141-3089 - Phone
- (305) 866-9951
- Fax
- (877) 284-8933
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD044997E | PA | |
| Family Medicine Physician | 207Q00000X | MD044997E | PA | Primary |
Addresses
Primary practice location
300 71St St
Suite 620
Miami Beach, FL 33141-3089
Mailing address
300 71St St
Suite 620
Miami Beach, FL 33141-3089
Phone (305) 866-9951
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00688655 | Other | PA | RAILROAD MEDICARE |
| 001528765 | Medicaid | PA |
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 |
|---|---|---|---|
| MD044997E | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1760638464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 71ST ST",
"address_2": "SUITE 620",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331413089",
"telephone_number": "305-866-9951",
"fax_number": "877-284-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 71ST ST",
"address_2": "SUITE 620",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331413089",
"telephone_number": "305-866-9951",
"fax_number": "877-284-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDY",
"first_name": "VIVIAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD044997E",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD044997E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00688655",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001528765",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.