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TYJUAN MEKKHI GARDNER
NPI 1063244697
Student in an Organized Health Care Education/Training Program in New York, NY

Active since August 14, 2024
622 W 168TH ST, NEW YORK, NY 10032(212) 305-6100 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyjuan Mekkhi Gardner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYJUAN MEKKHI GARDNER (NPI 1063244697) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1063244697
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYJUAN MEKKHI GARDNER
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address60 Haven AveNew York, NY 10032-2604 · (215) 939-4824
Phone(212) 305-6100
Sole ProprietorNo
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 10, 2024
✔ NPI 1063244697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
622 W 168TH ST, New York, NY 10032
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Other Names 1

Other Name (5)Mekkhi Gardner Gardner

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
STEVEN ZELEFSKY
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyjuan Gardner's NPI number?

The NPI number for Tyjuan Gardner is 1063244697. It was assigned to this individual provider in the NPPES registry on August 14, 2024. The provider is also known as Mekkhi Gardner Gardner.

Where is Tyjuan Gardner located?

Tyjuan Gardner practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-6100.

What is Tyjuan Gardner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tyjuan Gardner was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.