Organization Active NPI

Gil Medical Services P C

  • Family Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1013471978
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 24, 2019

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
04572625MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.