DR. JERROLD CONRAD GENDLER (NPI# 1144528050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144528050 |
| Entity Type | Individual |
| Full Name | DR. JERROLD CONRAD GENDLER |
| Credential | MD |
| Practice Address |
560 Norhern Blvd 190 Great Neck NY 11021 |
| Practice Telephone | 6467054505 |
| Mailing Telephone | 6467054505 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
237927 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
560 NORHERN BLVD 190 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033377213 | Joseph J Rousso | Otolaryngology | 440 Northern Blvd, Great Neck, NY 11021-4813 | 2008-05-24 |
| 1447518857 | Elizabeth Mia Floyd | Otolaryngology | 600 Northern Blvd Ste 100, Great Neck, NY 11021-5200 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427311430 | Gary Linkov | Otolaryngology | 635 Madison Ave # 1402e, New York, NY 10022-1009 | 2012-06-25 |
| 1205196961 | Daniela Maria Burchhardt | Otolaryngology | 89-06 Van Wyck Expy Suite 2t, Jamaica, NY 11418 | 2012-05-29 |
| 1710276753 | Moustafa W. Mourad | Otolaryngology | 115 E 61st St Ste 7c, New York, NY 10065 | 2011-03-30 |
| 1447485529 | Paul D. Gittelman,m.d. F.a.c.s. P.l.l.c. | Otolaryngology | 1600 Harrison Ave Ste G-104, Mamaroneck, NY 10543 | 2009-05-19 |
| 1083850044 | Richard W Westreich Md Pllc | Otolaryngology | 4 E 88th St Ste 1b, New York, NY 10128 | 2008-12-22 |
| 1780845545 | Lesley Rabach | Otolaryngology | 33 5th Ave Apt 1b, Lm Medical Nyc, New York, NY 10003-4377 | 2008-06-24 |
| 1528243680 | Stuart Arnold | Otolaryngology | 194 Heron Ln, Manhasset, NY 11030-4012 | 2008-01-08 |
| 1225173370 | Shari Diane Reitzen-bastidas | Otolaryngology | 121 Dekalb Ave # 9e, Brooklyn, NY 11201-5425 | 2007-02-20 |
| 1386703338 | Michelle Robin Yagoda | Otolaryngology | 5 E 83rd St, New York, NY 10028-0401 | 2006-12-06 |
| 1699864132 | Bernard L. Pacella Jr. | Otolaryngology | 115 E 61st St Apt 4c, New York, NY 10021-8184 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.