GANDELMAN CARDIOLOGY, PC (NPI# 1629264353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629264353 |
| Entity Type | Organization |
| Organization Name | GANDELMAN CARDIOLOGY, PC |
| Practice Address |
67 Holly Hill Ln Suite 102 Greenwich CT 06830-6072 |
| Practice Telephone | 2038695515 |
| Practice Fax Number | 2038695765 |
| Mailing Telephone | 2038695515 |
| Mailing Fax Number | 2038695765 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2020-05-24 |
| Authorized Official Name | GLENN GANDELMAN (PRESIDENT) |
| Authorized Official Telephone | 2038695515 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
044021 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
67 HOLLY HILL LN SUITE 102 |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-6072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117437 | Glenn Gandelman | Specialist | 67 Holly Hill Ln, Suite 102, Greenwich, CT 06830 | 2005-07-09 |
| 1639628233 | Resolution Wellness | Physical Therapist | 67 Holly Hill Ln, Located Inside Peak 360, Greenwich, CT 06830-6072 | 2016-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710277843 | Sara Seidelmann | Internal Medicine | 644 W Putnam Ave Ste 203, Greenwich, CT 06830-6088 | 2011-04-11 |
| 1427168129 | Kevin E Conboy | Internal Medicine | 49 Lake Ave Ste Ll3, Greenwich, CT 06830-4501 | 2006-08-30 |
| 1871503383 | Robert Michael Stark | Internal Medicine | 40 W Elm St, Greenwich, CT 06830-6425 | 2006-08-08 |
| 1679983209 | Joel M. Blumberg Md PC | Internal Medicine | 644 W Putnam Ave, Greenwich, CT 06830-6008 | 2014-05-05 |
| 1972889731 | Weill Medical College of Cornell University | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2011-10-25 |
| 1841520293 | Mill Hill Medical Consultants Inc | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2010-01-07 |
| 1033322151 | Christopher M Edelmann,m.d.,p.c. | Internal Medicine | 42 Sherwood Pl, Greenwich, CT 06830-5638 | 2007-05-07 |
| 1538205372 | Kevin E. Conboy, Md | Internal Medicine | 38 Lake Ave, Greenwich, CT 06830-4515 | 2007-01-29 |
| 1558436766 | The Greenwich Medical Group | Internal Medicine | 75 Holly Hill Ln, Greenwich, CT 06830-6098 | 2006-11-22 |
| 1093892499 | Robert M. Stark, M.d., P.C. | Internal Medicine | 40 W Elm St, Greenwich, CT 06830-6425 | 2006-11-01 |
| Find all providers in GREENWICH | ||||
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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.