NPIMap

Organization Active NPI

Empire Gate Medical P.C.

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1003188020
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EMPIRE GATE MEDICAL P.C.
Practice address
8810 Parsons Blvd
Jamaica, NY 11432-3842
Phone
(718) 291-8111
Fax
(718) 487-9343
NPI assigned
Feb 7, 2012
Last updated
May 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Mr. Robert Gordon
Title
Coo
Phone
(646) 217-4610

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X 163293 NY
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

8810 Parsons Blvd
Jamaica, NY 11432-3842

Mailing address

111 Broadway
#1005
New York, NY 10006-1951
Phone (646) 217-4610

National Provider Directory

National Provider Directory

Locations

8810 Parsons Blvd
Jamaica, NY 11432
Phone (718) 291-7111

111 Broadway
Rm 1005
New York, NY 10006

Practitioners & affiliated clinicians

Practitioners 5

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": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1003188020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROADWAY",
            "address_2": "#1005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061951",
            "telephone_number": "646-217-4610",
            "fax_number": "917-591-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323842",
            "telephone_number": "718-291-8111",
            "fax_number": "718-487-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE GATE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "646-217-4610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "163293",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.