Jatin D Gandhi, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MA03647300 Issued in NJ

Practice address

390 N Broadway
Suite 500
Pennsville, NJ 08070-1253

Phone

(856) 678-7474

Fax

(856) 678-3018

NPI assigned

Apr 17, 2006

Last updated

Apr 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jatin D Gandhi MD PA

  • Orthopaedic Surgery Physician
  • Pennsville, NJ
  • NPI 1326365867
  Authorized official Same address or phone

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1811951635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "SHILOH",
            "state": "NJ",
            "postal_code": "083530109",
            "telephone_number": "856-451-9395",
            "fax_number": "856-451-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N BROADWAY",
            "address_2": "SUITE 500",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701253",
            "telephone_number": "856-678-7474",
            "fax_number": "856-678-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "JATIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA03647300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079406",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0072366000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Filler, RPH
• Theresa Catalano Fleming, O.D.
• Freedom Pain Centers Inc
• Joseph T Gallagher, PT
• Matthew Samuel Gambino, O.D.
• Alyssa C Gaspari
• Carmen Isabel Gonzalez, M.ED., BCBA
• Gower Family Chiropractic LLC
• Alicia Gower, DC
• Susan K Grudzinski, RN, APN

• Orthopaedic Surgery Physician in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.