Active NPI
Kirit V Gandhi, M.D. P.a.
- Internal Medicine Physician
- Jersey City, NJ
National Provider Identifier
1932464047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA04575800
- Legal business name
- KIRIT V GANDHI, M.D. P.A.
- Practice address
- 3665 Kennedy Blvd
Jersey City, NJ 07307-3210 - Phone
- (201) 963-1155
- NPI assigned
- Jul 5, 2012
- Last updated
- Jul 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mina Gandhi
- Title
- Office Manager
- Phone
- (201) 239-9584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA04575800 | NJ | Primary |
Addresses
Primary practice location
3665 Kennedy Blvd
Jersey City, NJ 07307-3210
Mailing address
3665 Kennedy Blvd
Jersey City, NJ 07307-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1883500 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pulmonary Disease Physician
- Jersey City, NJ
- NPI 1407932650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341446400000",
"number": "1932464047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073073210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073073210",
"telephone_number": "201-963-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRIT V GANDHI, M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-05",
"last_updated": "2012-07-05",
"status": "A",
"authorized_official_last_name": "GANDHI",
"authorized_official_first_name": "MINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "201-239-9584"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA04575800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1883500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.