DR. LYDIA GARDNER (NPI# 1396039293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396039293 |
| Entity Type | Individual |
| Full Name | DR. LYDIA GARDNER |
| Credential | D.M.D. |
| Practice Address |
99 John St 1608 New York NY 10038-2903 |
| Practice Telephone | 4433066392 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2014-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DS038532 | PA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
056640 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881040400 | Lydia Gardner | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2016-05-12 |
| Street Address |
99 JOHN ST 1608 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093935314 | Janet K Wong | Pharmacist | 99 John St, New York, NY 10038-2903 | 2007-04-27 |
| 1720473309 | Scott Safir | Student in an Organized Health Care Education/Training Program | 99 John St, Apt 2309, New York, NY 10038-2903 | 2015-04-01 |
| 1992028542 | Maya Balakrishnan Puri | Psychiatry & Neurology | 99 John St, Apt 814, New York, NY 10038-2903 | 2010-03-10 |
| 1447572771 | Vo Duong | Pharmacist | 99 John St, New York, NY 10038-2903 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| Find all providers in zip 10038 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| 1902265036 | City Dentistry | Dentist | 2090 7th Ave Ground Floor, New York, NY 10027-4990 | 2016-02-17 |
| 1134519150 | Alexander Volchonok | Dentist | 135 W 96th St Apt 10e, New York, NY 10025-6437 | 2015-01-28 |
| 1073911988 | Hankyu Cho | Dentist | 50 Haven Ave. Mbg20, New York, NY 10032 | 2014-12-09 |
| 1851794978 | Matthew Parker Hickin | Dentist | 14 Bedford St, Apt 5, New York, NY 10014-4717 | 2014-10-02 |
| 1285981928 | Jin Wang | Dentist | 10 Waterside Plz Apt 12a, New York, NY 10010-2698 | 2012-08-13 |
| 1447506100 | Jeremy Seth Nehleber | Dentist | 531 E 20th St Apt 9f, New York, NY 10010-7610 | 2012-07-31 |
| 1629336664 | Yes Dental of Ny, Pllc | Dentist | 1420 St. Nicholas Ave, 2 Fl, New York, NY 10033-4050 | 2012-04-27 |
| Find all providers in NEW YORK | ||||
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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.