Active NPI
Max Van Gilder, MD
- Pediatrics Physician
- New York, NY
National Provider Identifier
1871554972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 110678
- Practice address
- 2 W 86TH St
Suite 3B
New York, NY 10024-3666 - Phone
- (212) 787-1788
- Fax
- (212) 787-1606
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 110678 | NY | Primary |
Addresses
Primary practice location
2 W 86TH St
Suite 3B
New York, NY 10024-3666
Mailing address
PO Box 95000-2388
Philadelphia, PA 19195-2388
Phone (212) 308-1112
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110678 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St.Uke's - West Care Medical Associates | Past | Accepting new patients | |
| St. Lukes- Roosevelt Hospital Center | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Westcare Medical Associates
- Pediatrics Physician
- New York, NY
- NPI 1639236672
-
- Internal Medicine Physician
- New York, NY
- NPI 1013055284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1871554972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2388",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952388",
"telephone_number": "212-308-1112",
"fax_number": "212-308-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W 86TH ST",
"address_2": "SUITE 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243666",
"telephone_number": "212-787-1788",
"fax_number": "212-787-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN GILDER",
"first_name": "MAX",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "110678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.