Jeffrey Louis Gardner, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

169951 Issued in NY

Practice address

200 Madison Ave Ste 2D
Elmira, NY 14901-3219

Phone

(607) 271-3442

Fax

(607) 271-3445

NPI assigned

Nov 17, 2006

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 3

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgardner26531@direct.xtensys.com
• Direct secure messaging: jeffrey.gardner@arn.eclinicaldirectplus.com

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.

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661
  Medicare reassignment NPD
• Arnot Ogden Medical Center

  • Community/Retail Pharmacy
  • Elmira, NY
  • NPI 1831875004
  NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1841363553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050",
            "fax_number": "607-873-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MADISON AVE STE 2D",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013219",
            "telephone_number": "607-271-3442",
            "fax_number": "607-271-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JEFFREY",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "169951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D. NUMBER",
            "identifier": "141766229",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.V.P. HEALTHCARE ID",
            "identifier": "26159",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01437750",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Fusare
• Deepakraj Gajanana, M.D
• Anne Galbraith, M.C.D., CCC-SLP
• Renee Gallagher, LCSW
• Jennifer Galliger-Houghtelling
• Jessica L Garrett
• Gastroenterology Associates of the Southern Tier
• Nathan A Gear, PHARMD
• Alisha Nadine Gelling
• Ernest Joseph Germano, LMHC

• Pediatrics Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.

Verify at the official NPI Registry.