Organization Active NPI

Myles E Gombert MD PC

  • Internal Medicine Physician
  • Sands Point, NY
National Provider Identifier
1003174194
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
129224 Issued in NY
Legal business name
MYLES E GOMBERT MD PC
Practice address
30 Wood Rd
Sands Point, NY 11050-2625
Phone
(516) 652-7647
Fax
(516) 944-2385
NPI assigned
Apr 26, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Myles E Gombert, M.D.NPI 1326109091
Title
President
Phone
(516) 652-7647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 129224 NY Primary

Addresses

Primary practice location

30 Wood Rd
Sands Point, NY 11050-2625

Mailing address

30 Wood Rd
Sands Point, NY 11050-2625
Phone (516) 652-7647

Other identifiers 1

IdentifierTypeStateIssuer
00607561MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1003174194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WOOD RD",
            "city": "SANDS POINT",
            "state": "NY",
            "postal_code": "110502625",
            "telephone_number": "516-652-7647",
            "fax_number": "516-944-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WOOD RD",
            "city": "SANDS POINT",
            "state": "NY",
            "postal_code": "110502625",
            "telephone_number": "516-652-7647",
            "fax_number": "516-944-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLES E GOMBERT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "GOMBERT",
        "authorized_official_first_name": "MYLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-652-7647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "129224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00607561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sands Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.