Active NPI
Ellen C Gendler, MD
- Dermatology Physician
- New York, NY
National Provider Identifier
1891997409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 150962
- Practice address
- 1035 5TH Avenue
New York, NY 10028 - Phone
- (212) 288-8222
- Fax
- (212) 988-9640
- NPI assigned
- Jun 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 150962 | NY | Primary |
Addresses
Primary practice location
1035 5TH Avenue
New York, NY 10028
Mailing address
1035 5TH Avenue
New York, NY 10028
Phone (212) 288-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 15, 2012 through Jul 15, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Columbia University College of Physicians and Surgeons, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1035 5TH Ave
New York, NY 10028-0135
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891997409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 5TH AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-288-8222",
"fax_number": "212-988-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 5TH AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-288-8222",
"fax_number": "212-988-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDLER",
"first_name": "ELLEN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "150962",
"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 Jul 8, 2007; 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; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.