Arsalan Fazal Gondal

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

26709 Hillside Ave
Glen Oaks, NY 11004-1743

Phone

(516) 787-4595

NPI assigned

Feb 27, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1083313134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 BOOTH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741561",
            "telephone_number": "516-787-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26709 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041743",
            "telephone_number": "516-787-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDAL",
        "first_name": "ARSALAN",
        "middle_name": "FAZAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Oaks Internal Medicine PC
• Glen Oaks Medical Associate PC
• Rosalyn Glicklich
• Jennie Goldstein, MD
• Lenore S Goldstein, RN
• Dalia Gonzalez
• Evelio Samuel Gonzalez, MD
• Richard Edward Gonzalez, R.PH.
• Jason Jonathan Goodman, MD
• Malkanthi Goonewardena

• Durable Medical Equipment & Medical Supplies in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.