Active NPI
Noreen Mary Gillingham, RSA-O
- Surgical Assistant
- Glens Falls, NY
National Provider Identifier
1134925936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- O000138-01
- Practice address
- Pruyn Pavilion 102 Park Street
Glens Falls, NY 12801-1280 - Phone
- (518) 793-5601
- NPI assigned
- Feb 21, 2025
- Last updated
- Feb 21, 2025
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | O000138-01 | NY | Primary |
Addresses
Primary practice location
Pruyn Pavilion 102 Park Street
Glens Falls, NY 12801-1280
Mailing address
Pruyn Pavilion 102 Park Street
Glens Falls, NY 12801
Phone (518) 793-5601
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O000138-01 | NY | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1134925936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PRUYN PAVILION 102 PARK STREET",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-793-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PRUYN PAVILION 102 PARK STREET",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128011280",
"telephone_number": "518-793-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLINGHAM",
"first_name": "NOREEN",
"middle_name": "MARY",
"credential": "RSA-O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-21",
"last_updated": "2025-02-21",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NY",
"license": "O000138-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.