Individual provider Active NPI

Gabrielle P Lemlich, MD

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1154375152
Registry record updated Jun 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
163851 Issued in NY
Practice address
411 Graham Ave
Brooklyn, NY 11211-2421
Phone
(718) 383-2515
Fax
(718) 383-6717
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 163851 NY Primary

Addresses

Primary practice location

411 Graham Ave
Brooklyn, NY 11211-2421

Mailing address

PO Box 20420
Park West Station
New York, NY 10025-1513
Phone (917) 787-2112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419001007 NY Practitioner - Dermatology 0244225241 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians
Community Medical and Dental Care, Inc.Group PAC ID 2062487739, 17 clinicians

Practice addresses (Care Compare)

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

40 Robert Pitt Dr
Monsey, NY 10952-3333

405 Graham Ave
Brooklyn, NY 11211-2421
Phone (718) 383-2515

Hospital & facility affiliations

  • Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058
  • Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
163851NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Professional Medical Services, PC Dermatology CurrentSince Mar 1, 2015 Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients
Kings Physician Services, PC Past Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

Networks

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

Interoperability endpoints

  • Direct secure messaging: gabriellelemlich@cmdci.allscriptsdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370736000000",
    "number": "1154375152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20420",
            "address_2": "PARK WEST STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251513",
            "telephone_number": "917-787-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112421",
            "telephone_number": "718-383-2515",
            "fax_number": "718-383-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMLICH",
        "first_name": "GABRIELLE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "163851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.