Gabriel E. Agbim, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

193569 Issued in NY

Practice address

1162 Eastern Pkwy
Brooklyn, NY 11213-4108

Phone

(718) 221-0333

Fax

(718) 221-1087

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Pediatrics,P.C.

  • Pediatrics Physician
  • Dix Hills, NY
  • NPI 1326335068
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053422659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CANDLEWOOD PATH",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465306",
            "telephone_number": "631-462-2240",
            "fax_number": "631-462-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134108",
            "telephone_number": "718-221-0333",
            "fax_number": "718-221-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBIM",
        "first_name": "GABRIEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "193569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01571420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pius Iwegbunem Agbasionwe, BPHARM
• Ninian Agbasonu
• Temitope Agbeniyi
• Janette Agbetor, LCAT, ATR-BC
• Emmanuel Agbi, R.N
• Esohe Agbonkpolor
• Xiaonian Jane Agbontaen, PA
• John Owoade Agboola, MBBS
• Roseline Agboola
• Levon Agdere, M.D.

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.