JEFFREY GARDERE (NPI# 1629237771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629237771 |
| Entity Type | Individual |
| Full Name | JEFFREY GARDERE |
| Practice Address |
154 W 127th St New York NY 10027-3722 |
| Practice Telephone | 2127493507 |
| Practice Fax Number | 2126661679 |
| Mailing Telephone | 2127493507 |
| Mailing Fax Number | 2126661679 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
009164-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
154 W 127TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10027-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215924030 | James Mcknight | Psychiatry & Neurology | 154 W 127th St, New York, NY 10027-3739 | 2005-10-06 |
| 1124556154 | Zenebou Abalo-toga | Physician Assistant | 154 W 127th St, New York, NY 10027-3739 | 2017-06-04 |
| 1811433196 | Urban Health Plan, Inc | Clinic/Center | 154 W 127th St, New York, NY 10027-3739 | 2017-01-11 |
| 1033662168 | Azimuth Radiology, PC | Specialist | 154 W 127th St, New York, NY 10027-3739 | 2016-07-25 |
| 1003287665 | Dwayne Poole-seymour | Social Worker | 154 W 127th St, New York, NY 10027-3739 | 2015-10-08 |
| 1023401163 | Nyces Endoscopy Surgicare-pc | Medical Genetics, Ph.D. Medical Genetics | 154 W 127th St, New York, NY 10027-3739 | 2015-03-13 |
| 1609293612 | Citisocial New York, LLC | Respite Care | 154 W 127th St, New York, NY 10027-3739 | 2014-03-27 |
| 1730405366 | Elsa Neilan | Psychologist | 154 W 127th St, 3rd Floor, New York, NY 10027-3739 | 2010-04-07 |
| 1306162938 | Tom Kearns | Counselor | 154 W 127th St, 3rd Floor, New York, NY 10027-3739 | 2010-04-07 |
| 1699901280 | Citicare,inc | Clinic/Center | 154 W 127th St, New York, NY 10027-3722 | 2009-06-09 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1720691199 | Mohamad El Zein | Student in an Organized Health Care Education/Training Program | 281 West 132nd Street, App Nb 2, New York, NY 10027 | 2020-08-26 |
| 1194335893 | Cynthia Wiggins | Social Worker | 1255 Amsterdam Avenue, New York, NY 10027 | 2020-08-06 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1396216818 | Gissel Lopez | Licensed Practical Nurse | 119west 124th Street, New York, NY 10027 | 2018-12-10 |
| 1831660620 | Katherine Gonzalez | Licensed Practical Nurse | 119 121 W 124th Street, New York, NY 10027 | 2018-12-06 |
| 1003383456 | Ebony S Prescott | Specialist | 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 | 2018-10-24 |
| 1619456589 | Arts of Optics Corp. | Optometrist | 200 W 125th St, New York, NY 10027 | 2018-08-10 |
| 1205355658 | Frederick Community Pharmacy Inc | Pharmacy | 2450 Frederick Douglas Blvd, New York, NY 10027 | 2017-09-18 |
| Find all providers in zip 10027 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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|---|---|---|---|---|
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| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1114534757 | Joshua Andrew Haag | Psychologist | 100 Beekman St Apt 5m, New York, NY 10038-0052 | 2020-09-28 |
| 1164037909 | Katherine Louise Rachlin | Psychologist | 708 Greenwich St Apt 5b, New York, NY 10014-2598 | 2020-09-09 |
| 1538773916 | Melanie Love | Psychologist | 75 West St Apt 5h, New York, NY 10006-1793 | 2020-09-03 |
| 1952914335 | Danielle Landau | Psychologist | 127 W 96th St Apt 12e, New York, NY 10025-6482 | 2020-08-26 |
| 1265045744 | Jennifer A Drapkin | Psychologist | 136 W 71st St Apt 4f, New York, NY 10023-4024 | 2020-08-25 |
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1033729686 | Colleen Cook Flannery | Psychologist | 53 E 96th St # 1, New York, NY 10128-0813 | 2020-08-07 |
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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.