GANDELMAN CARDIOLOGY, PC
NPI 1629264353
Internal Medicine - Cardiovascular Disease in Greenwich, CT

Q: What is Gandelman Cardiology, PC's NPI number?

The NPI number for Gandelman Cardiology, PC is 1629264353. It was assigned to this organization in the NPPES registry on September 17, 2007.

Q: What is Gandelman Cardiology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since September 17, 2007CLIA 07D2262550 · Waiver

81 HOLLY HILL LN FL 3, GREENWICH, CT 06830(203) 869-5515(203) 869-5765 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2024, May 24, 2020 (2 updates tracked since 2020).

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About Gandelman Cardiology, Pc NPPES

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

GANDELMAN CARDIOLOGY, PC (NPI 1629264353) is a healthcare organization registered as a cardiovascular disease in Greenwich, Connecticut and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Glenn Gandelman, President, as its authorized official.

NPPES Registry Identity

NPI1629264353

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameGANDELMAN CARDIOLOGY, PC

Location Address81 HOLLY HILL LN FL 3Greenwich, CT 06830-2945

Mailing Address81 Holly Hill Ln Fl 3Greenwich, CT 06830-2945 · (203) 869-5515 · Fax (203) 869-5765

Phone(203) 869-5515

Fax(203) 869-5765

Organization SubpartNo

Authorized OfficialGlenn GandelmanPresident · (203) 869-5515

Enumeration DateSeptember 17, 2007

Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration

NPPES CertifiedOctober 14, 2024

✔ NPI 1629264353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

81 HOLLY HILL LN FL 3, Greenwich, CT 06830

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2262550

Gandelman Cardiology, PC · Greenwich, CT

Active · expires Jun 14, 2028

CLIA Number07D2262550

Laboratory TypePhysician Office

Certificate Effective DateJune 15, 2026

Certificate Expiration DateJune 14, 2028

Laboratory DirectorGlenn Gandelman

Laboratory Phone(203) 869-5515

Laboratory LocationGandelman Cardiology, PC81 Holly Hill Ln 3rd Flr, Greenwich, CT 06830

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. GLENN GANDELMAN MD

Internal Medicine (Cardiovascular Disease)