Physician Compare National (NPI:1679985402)

HEALTHCARE PROVIDER: MICHAEL I GARTENHAUS D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679985402
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698044600
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170707000591
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARTENHAUS
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	IAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8931 161ST ST
	Group Practice or individual's line 1 address
City	JAMAICA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	114326140
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7182916161
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330014
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JAMAICA HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y