Healthcare Provider Details

I. General information

NPI: 1780545335
Provider Name (Legal Business Name): RICHARD GAJDOWSKI MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2025
Last Update Date: 11/22/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1097 OLD COUNTRY RD STE 105
PLAINVIEW NY
11803-6505
US

IV. Provider business mailing address

110 MERLIN DR
MC MURRAY PA
15317-3330
US

V. Phone/Fax

Practice location:
  • Phone: 516-924-4153
  • Fax:
Mailing address:
  • Phone: 412-587-5093
  • Fax: 412-587-5091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. RICHARD JAN GAJDOWSKI
Title or Position: DIRECTOR
Credential: MD
Phone: 412-587-5093