Robert Gangi, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016221-1 Issued in NY

Practice address

280 Park Ave S
Suite 12H
New York, NY 10010-6121

Phone

(212) 380-8059

Fax

(718) 238-1680

NPI assigned

May 26, 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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1912953175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PARK AVE S",
            "address_2": "APT 12H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106130",
            "telephone_number": "212-380-8059",
            "fax_number": "212-212-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PARK AVE S",
            "address_2": "SUITE 12H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106121",
            "telephone_number": "212-380-8059",
            "fax_number": "718-238-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016221-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Gang
• Sarah Gang
• Sandeep Gangadharan
• Carolyn Gangemi, CRNA
• Stephanie Marie Gangemi, PA-C
• Sandeep Reddy Gangireddy, M.D.
• Amanda Kristen Gangoo, M.D.
• Maalobeeka Gangopadhyay, M.D.
• Sanhita Gangopadhyay, M.D.
• Shreya Ganguly, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.
• 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.

Verify at the official NPI Registry.