Active NPI
Jansi Gnanasekaran, MD
- Endocrinology, Diabetes & Metabolism Physician
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 294792
- Practice address
- 30 Shelburne Rd
Dept. of Medicine
Stamford, CT 06902 - Phone
- (203) 276-7485
- Fax
- (203) 276-7368
- NPI assigned
- Apr 16, 2013
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 294792 | NY | Primary |
Addresses
Primary practice location
30 Shelburne Rd
Dept. of Medicine
Stamford, CT 06902
Mailing address
665 Saratoga Rd Ste 400
Gansevoort, NY 12831
Phone (518) 580-2185
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294792 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Hospital | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Saratoga Hospital | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800
665 Saratoga Rd
Ste 400
Wilton, NY 12831
Phone (518) 580-2185
665 Saratoga Rd
Ste 100
Wilton, NY 12831
Phone (518) 363-8815
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jgnanasekaran2092893@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.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
-
dba The Community Pharmacy at Saratoga Hospital
- Community/Retail Pharmacy
- Saratoga Springs, NY
- NPI 1164148110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1760825103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 SARATOGA RD STE 400",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "12831",
"telephone_number": "518-580-2185",
"fax_number": "518-886-9721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SHELBURNE RD",
"address_2": "DEPT. OF MEDICINE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06902",
"telephone_number": "203-276-7485",
"fax_number": "203-276-7368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNANASEKARAN",
"first_name": "JANSI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-16",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "294792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.