NPIMap

Individual provider Active NPI

John W Gimeli, RPA-C

  • Medical Physician Assistant
  • Jamaica, NY
National Provider Identifier
1184921637
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
013983 Issued in NY
Practice address
22A N. Service Road
Jamaica, NY 11430
Phone
(718) 244-1644
Fax
(718) 244-1622
NPI assigned
Feb 18, 2011
Last updated
Feb 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 013983 NY Primary

Addresses

Primary practice location

22A N. Service Road
Jamaica, NY 11430

Mailing address

22A North Service Road
JFK International Airport
Jamaica, NY 11430
Phone (718) 244-1644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308001853 NY Practitioner - Physician Assistant 3577869189 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of New York PLLCGroup PAC ID 2466816525, 11 clinicians
Excel Urgent Care of Nesconset PLLCGroup PAC ID 5092985986, 17 clinicians

Practice addresses (Care Compare)

2112 Middle Country Rd
Centereach, NY 11720-3519
Phone (631) 301-3010

465 Smithtown Blvd
Nesconset, NY 11767-2421
Phone (631) 676-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013983NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Throgs Neck Urgent Medical Care PLLC Current Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients
Winthrop Cardiology Associates P C Past Accepting new patients
Chenango Memorial Hospital, Inc. Past Accepting new patients

Locations

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

Interoperability endpoints

  • Direct secure messaging: urgentcareofny.johngimeli@156424.advancedmd-direct.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1184921637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22A NORTH SERVICE ROAD",
            "address_2": "JFK INTERNATIONAL AIRPORT",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11430",
            "telephone_number": "718-244-1644",
            "fax_number": "718-244-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22A N. SERVICE ROAD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11430",
            "telephone_number": "718-244-1644",
            "fax_number": "718-244-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMELI",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.