Jacqueline Grace Gil, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

23 012327 Issued in NY

Practice address

445 Main St # 1128
Center Moriches, NY 11934-3512

Phone

(631) 878-1043

NPI assigned

Dec 24, 2007

Last updated

Dec 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1154505303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 MAIN ST BOX 1128",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "11934",
            "telephone_number": "631-878-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MAIN ST # 1128",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343512",
            "telephone_number": "631-878-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "JACQUELINE",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "23 012327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Frederick
• Valerie Marie Galletta, LMSW
• Kathleen Ganun, RN
• John Crocirto Gavencak, DC
• Christianne Gentry
• David T Goldman, M.D.
• Egda M Gonzalez, LMSW
• Jose A. Gonzalez Jr., DC DPT
• Emma Kate Governale, LMSW
• Robin Grande, O.T

• Medical Physician Assistant in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.