Individual provider Active NPI

Robert Gaied

  • Physical Therapist
  • Deer Park, NY
National Provider Identifier
1104226794
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62 037418 Issued in NY
Practice address
46 Suburban Ave
Deer Park, NY 11729-6710
Phone
(347) 552-9092
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62 037418 NY Primary

Addresses

Primary practice location

46 Suburban Ave
Deer Park, NY 11729-6710

Mailing address

46 Suburban Ave
Deer Park, NY 11729-6710
Phone (347) 552-9092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119000284 NY Practitioner - Physical Therapist in Private Practice 7315206356 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Maurice Physical Therapy PCGroup PAC ID 1456648666, 3 clinicians

Practice addresses (Care Compare)

1111 Broadway
Suite 104
Farmingdale, NY 11735-4819
Phone (631) 209-5700

182 S Main St
Suite 109
New City, NY 10956-3318
Phone (631) 209-5700

4080 Hempstead Tpke
Bethpage, NY 11714-5604
Phone (516) 745-8070

6421 Fresh Pond Rd
Ridgewood, NY 11385-3330
Phone (631) 209-5700

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62 037418NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwoods Physical Therapy PC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
St Maurice Physical Therapy PC Physical Therapist CurrentSince Jul 24, 2016 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Apr 3, 2024 Accepting new patients
Hossam Adham Medical PC PastSince Sep 27, 2020 Accepting new patients

Locations

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

1111 Broadway
Ste 104
Farmingdale, NY 11735
Phone (347) 446-7788

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

164 N Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 226-2313

182 S Main St
Ste 111
New City, NY 10956
Phone (631) 209-5700

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

6421 Fresh Pond Rd
Ridgewood, NY 11385
Phone (631) 209-5700

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1104226794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SUBURBAN AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296710",
            "telephone_number": "347-552-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SUBURBAN AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296710",
            "telephone_number": "347-552-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIED",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 037418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.