PIA J GARDNER MD
NPI 1639133812
Pediatrics in Elmhurst, NY

Q: What is Pia Gardner's NPI number?

The NPI number for Pia Gardner is 1639133812. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is Pia Gardner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Pia Gardner was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since April 14, 2006PECOS Enrolled

88-31 55TH AVENUE, SUITE 201, ELMHURST, NY 11373(718) 899-6600(718) 606-3881 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2022, Apr 11, 2022 (2 updates tracked since 2022).

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About Pia J Gardner Md NPPES

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

PIA J GARDNER MD (NPI 1639133812) is an individual pediatrics provider in Elmhurst, New York, licensed in New York (269935) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1639133812

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NamePIA J GARDNERCredential: MD

Location Address88-31 55TH AVENUE, SUITE 201Elmhurst, NY 11373-4686

Mailing Address55 Water Street 2nd Floor Cred DeptNew York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 899-6600

Fax(718) 606-3881

Sole ProprietorNo

Enumeration DateApril 14, 2006

Last NPPES UpdateApril 25, 20222 updates tracked since enumeration

NPPES CertifiedApril 25, 2022

✔ NPI 1639133812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NY · 269935✔ Licensed in NJ · 25MA08838800

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

88-31 55TH AVENUE, Elmhurst, NY 11373

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Secondary Practice Location 1

Location 1388 Pulaski Street, Eleanor Roosevelt Houses CHC, Department of PediatricsBrooklyn, NY 11206 · Phone (718) 963-8000 ext. 8214 · Fax (718) 630-3122

Other Identifiers 1

Medicaid0246379NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pia J Gardner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Pia Gardner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York City Health And Hospitals Corporation

0.8 mi

General Acute Care Hospital

79-01 BROADWAY
Elmhurst, NY 11373

Reassigned Medicare billing, New York enrollment
1,615 clinicians in this Medicare group

NPI 1063426377 (718) 334-4900

Advantagecare Physicians PC

5.1 mi

General Practice

215 E 95TH ST
New York, NY 10128

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1336578772 (212) 996-8000

Laurelton Medical Physicians PLLC

7.9 mi

Clinic/Center

22414 MERRICK BLVD
Laurelton, NY 11413

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1902216229 (718) 949-6433

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

DANIEL SIMHAEE

Ophthalmology