Medical Associate of Wall Street, P.C.
NPI 1912272592 · Multi-Specialty Clinic/Center · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medical Associate of Wall Street, P.C. is a Multi-Specialty Clinic/Center organization in New York, NY (NPI 1912272592).
Provider details
- NPI number
- 1912272592
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glenn Gandelman, Chief Executive Officer(212) 233-3040
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-03-15
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Frequently asked questions
- What is Medical Associate of Wall Street, P.C.'s NPI number?
- Medical Associate of Wall Street, P.C.'s National Provider Identifier (NPI) is 1912272592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Associate of Wall Street, P.C.?
- Medical Associate of Wall Street, P.C. is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Medical Associate of Wall Street, P.C. located?
- Medical Associate of Wall Street, P.C.'s practice location on file with NPPES is 6 Maiden Ln Rm 500, New York, NY 10038-5140.
- What is Medical Associate of Wall Street, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Medical Associate of Wall Street, P.C. is (212) 233-3040.
- Does Medical Associate of Wall Street, P.C. accept Medicare?
- Medical Associate of Wall Street, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medical Associate of Wall Street, P.C.?
- The authorized official listed on Medical Associate of Wall Street, P.C.'s NPPES record is Glenn Gandelman, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Associate of Wall Street, P.C.'s NPI active?
- Yes — Medical Associate of Wall Street, P.C.'s NPI (1912272592) is active in the NPPES registry as of the last update on 2022-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.