Glaucoma Practice of New York, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GLAUCOMA PRACTICE OF NEW YORK, PLLC

Practice address

1220 New Scotland Rd
Suite 303
Slingerlands, NY 12159-9386

Phone

(518) 533-6565

Fax

(518) 533-6567

NPI assigned

Jul 3, 2006

Last updated

Oct 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sai Bhujangarao Gandham, M.D.NPI 1922007038

Title

Owner

Phone

(518) 533-6565

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sai B Gandham, M.D.

  • Ophthalmology Physician
  • Slingerlands, NY
  • NPI 1922007038
  Medicare reassignment NPD Authorized official
• Brian L Zerbe, M.D.

  • Specialist
  • Slingerlands, NY
  • NPI 1205875796
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1891725081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100358",
            "telephone_number": "518-533-6565",
            "fax_number": "518-533-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NEW SCOTLAND RD",
            "address_2": "SUITE 303",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599386",
            "telephone_number": "518-533-6565",
            "fax_number": "518-533-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA PRACTICE OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "GANDHAM",
        "authorized_official_first_name": "SAI",
        "authorized_official_middle_name": "BHUJANGARAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-533-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0279",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Jean Gallogly, N.P.
• Antoinette M Gamon, FNP
• Sai B Gandham, M.D.
• G. Akua Gibson, LMSW
• Glaucoma Consultants of the Capital Region,PLLC
• Julia Michelle Gleasman, DPT
• Jamie Golderman
• Marla J Gornstein
• Michelle R. Goyer, M.S.
• Graceful Connections Marriage and Family Therapy PLLC

• Ophthalmology Physician in Slingerlands, NY
• Providers in Slingerlands, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.