Active NPI
Edward Valentine Gauss, RPH.
- Pharmacist
- Merrick, NY
National Provider Identifier
1124296330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 032185
- Practice address
- 1686 Merrick Rd
Merrick, NY 11566-4538 - Phone
- (516) 378-9423
- NPI assigned
- Feb 11, 2008
- Last updated
- Feb 11, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032185 | NY | Primary |
Addresses
Primary practice location
1686 Merrick Rd
Merrick, NY 11566-4538
Mailing address
625 Harvard Ave
North Baldwin, NY 11510-2636
Phone (516) 379-0122
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)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032185 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldbaum Inc | Past | Accepting new patients | |
| Waldbaum Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1124296330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 HARVARD AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115102636",
"telephone_number": "516-379-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1686 MERRICK RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664538",
"telephone_number": "516-378-9423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUSS",
"first_name": "EDWARD",
"middle_name": "VALENTINE",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "032185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.