Gabisa Medical NJ LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GABISA MEDICAL NJ LLC

Practice address

Newark Liberty International Airport
Terminal B - #Btmp23 3 Brewster Road
Newark, NJ 07114

Phone

(973) 961-6906

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Marcelo Venegas Pizarro, MD

Title

Medical Director

Phone

(347) 524-1914

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1124632740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 GLENWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666532",
            "telephone_number": "347-524-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEWARK LIBERTY INTERNATIONAL AIRPORT",
            "address_2": "TERMINAL B - #BTMP23 3 BREWSTER ROAD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07114",
            "telephone_number": "973-961-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABISA MEDICAL NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "VENEGAS PIZARRO",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-524-1914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvenegas@knownowhealth.com",
            "affiliation": "N",
            "endpointDescription": "mvenegas@xprescheck.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Newark Liberty International Airport",
            "address_2": "Terminal B - #BTMP23 3 Brewster Road",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Ann Funn
• Neelima Roy Furtado, PA-C
• FVR Psych Intl
• Mina Gaballa, D.O.
• Yendi Gabay, PMHNP
• Lisa Ryan Gabor, M.D.
• George L Gabriel, PT
• Phabinly James Gabriel
• Gaccione Chiropractic Ctr PA
• Michael Scott Gaccione, DC

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.