Gopal Kishore Physician PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

GOPAL KISHORE PHYSICIAN PC

Practice address

9 Fordham Dr
Plainview, NY 11803-1207

Phone

(631) 271-9151

Fax

(631) 271-9155

NPI assigned

May 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gopal Kishore, M.D,NPI 1730260332

Title

Owner

Phone

(631) 271-9151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gopal Kishore, M.D.

  • Neurology Physician
  • Bethpage, NY
  • NPI 1730260332
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1164699146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FORDHAM DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031207",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FORDHAM DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031207",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOPAL KISHORE PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "KISHORE",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoshana Bracha Goldwag, OTR
• Paola Gomez, M.S.ED
• Chelsea Remah Gonsalves
• Cristina Gonzalez-Gellineau, M.D.
• Jeffrey Alan Goodman, M.D.
• Alan Steven Gorman, DDS
• Tiffany Gotterbarn, LMSW
• Amanda Gottlieb
• Judy H Gottlieb
• Jennifer Governale, SPECIAL EDUCATION

• Neurology Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.