Active NPI
Gayle Couleas, ANP-C
- Nurse Practitioner
- Hauppauge, NY
National Provider Identifier
1093722951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F304244
- Practice address
- 694 Motor Pkwy
Suite 101
Hauppauge, NY 11788-5175 - Phone
- (631) 265-9355
- Fax
- (631) 864-8504
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F304244 | NY | Primary |
Addresses
Primary practice location
694 Motor Pkwy
Suite 101
Hauppauge, NY 11788-5175
Mailing address
694 Motor Pkwy
Suite 101
Hauppauge, NY 11788-5175
Phone (631) 265-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304244 | NY | MD | Family Medicine Physician |
| F304244 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roxanne G Carfora, DO, PC | Past | Accepting new patients | |
| Main Street Medical, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bay Shore, NY
- NPI 1184049835
-
- Family Medicine Physician
- Hauppauge, NY
- NPI 1962830851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1093722951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "694 MOTOR PKWY",
"address_2": "SUITE 101",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117885175",
"telephone_number": "631-265-9355",
"fax_number": "631-864-8504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "694 MOTOR PKWY",
"address_2": "SUITE 101",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117885175",
"telephone_number": "631-265-9355",
"fax_number": "631-864-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULEAS",
"first_name": "GAYLE",
"name_prefix": "Ms.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F304244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.