Organization Active NPI

Lloyd B Gayle MD PC

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1073824157
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
161869 Issued in NY
Legal business name
LLOYD B GAYLE MD PC
Practice address
1150 Park Ave
Suite 1F
New York, NY 10128-1244
Phone
(212) 452-5121
Fax
(212) 452-5125
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Dr. Lloyd B. Gayle, MD
Title
President
Phone
(212) 452-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 161869 NY Primary

Addresses

Primary practice location

1150 Park Ave
Suite 1F
New York, NY 10128-1244

Mailing address

1150 Park Ave
Suite 1F
New York, NY 10128-1244
Phone (212) 452-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000132 NY Part B Supplier - Clinic/Group Practice 7416125778 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

50 E 69th St
Fl 4
New York, NY 10021
Phone (212) 452-5121

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": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1073824157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PARK AVE",
            "address_2": "SUITE 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281244",
            "telephone_number": "212-452-5121",
            "fax_number": "212-452-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PARK AVE",
            "address_2": "SUITE 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281244",
            "telephone_number": "212-452-5121",
            "fax_number": "212-452-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD B GAYLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-452-5121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "161869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.