Organization Active NPI

Gabriel Pediatrics, PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1013916550
Registry record updated Jun 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GABRIEL PEDIATRICS, PC
Practice address
7715 4TH Ave
Brooklyn, NY 11209-3439
Phone
(718) 833-2300
Fax
(718) 836-2305
NPI assigned
Jul 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2010

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

Authorized official

Name
Demetrios M Gabriel, MD
Title
Pediatrician/President
Phone
(718) 833-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X NY Primary

Addresses

Primary practice location

7715 4TH Ave
Brooklyn, NY 11209-3439

Mailing address

7715 4TH Ave
Brooklyn, NY 11209-3439
Phone (718) 833-2300

National Provider Directory

National Provider Directory

Locations

1582 Richmond Ave
Staten Island, NY 10314
Phone (718) 761-0623

Practitioners & affiliated clinicians

Practitioners 3

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": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277510400000",
    "number": "1013916550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093439",
            "telephone_number": "718-833-2300",
            "fax_number": "718-836-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093439",
            "telephone_number": "718-833-2300",
            "fax_number": "718-836-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-06-26",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PEDIATRICIAN/PRESIDENT",
        "authorized_official_telephone_number": "718-833-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2010; 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.