Active NPI
Gil Medical Services P C
- Family Medicine Physician
- Jackson Heights, NY
National Provider Identifier
1013471978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GIL MEDICAL SERVICES P C
- Practice address
- 3722 88TH St
Jackson Heights, NY 11372-7631 - Phone
- (718) 507-9878
- Fax
- (718) 507-9894
- NPI assigned
- Jan 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Giovanny Fernando Gil Sares, MD
- Title
- Medical Directo
- Phone
- (718) 507-9878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3722 88TH St
Jackson Heights, NY 11372-7631
Mailing address
3722 88TH St
Jackson Heights, NY 11372-7631
Phone (718) 507-9878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04572625 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
3722 88th St
Jackson Heights, NY 11372
Phone (718) 507-9878
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Jackson Heights, NY
- NPI 1881753150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548288000000",
"number": "1013471978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3722 88TH ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727631",
"telephone_number": "718-507-9878",
"fax_number": "718-507-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 88TH ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727631",
"telephone_number": "718-507-9878",
"fax_number": "718-507-9894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIL MEDICAL SERVICES P C",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A",
"authorized_official_last_name": "GIL SARES",
"authorized_official_first_name": "GIOVANNY",
"authorized_official_middle_name": "FERNANDO",
"authorized_official_title_or_position": "MEDICAL DIRECTO",
"authorized_official_telephone_number": "718-507-9878",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04572625",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.