Gilgal Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GILGAL MEDICAL SUPPLIES INC

Practice address

4050 13TH St
Saint Cloud, FL 34769-6774

Phone

(407) 484-0032

NPI assigned

Aug 20, 2020

Last updated

Aug 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Chacko

Title

VP

Phone

(407) 484-0032

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Gilgal Medical Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gilgal Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
  • NPI 1245902014
  NPD tax ID

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1023620911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696774",
            "telephone_number": "407-484-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696774",
            "telephone_number": "407-484-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILGAL MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-484-0032"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Jose Gierbolini
• Lukasz Edward Gierut, D.O.
• Leidy Natacha Gil Vergel
• Maryslenni Gil, M.D.
• Abby Gilbert
• Joanne Deborah Gillins, MSW
• Alexander Daniel Gilroy, DPM
• Ruth Janice Gimenez, APRN FNP-C
• Jessie Gitow
• Brenda Givargidze, PA-C

• Durable Medical Equipment & Medical Supplies in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.