Active NPI
Timothy F Gabryel MD PC
- Non-Pharmacy Dispensing Site
- Buffalo, NY
National Provider Identifier
1194141945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 131764
- Legal business name
- TIMOTHY F GABRYEL MD PC
- Practice address
- 1900 Ridge Rd
Suite 130
Buffalo, NY 14224-3332 - Phone
- (716) 675-0707
- NPI assigned
- Mar 17, 2014
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 964-1506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 131764 | NY | Primary |
Addresses
Primary practice location
1900 Ridge Rd
Suite 130
Buffalo, NY 14224-3332
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
National Provider Directory
National Provider Directory- Part of
- Tri - State Medical Group Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- West Seneca, NY
- NPI 1124061320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395014400000",
"number": "1194141945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 OBERLIN DR",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 RIDGE RD",
"address_2": "SUITE 130",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142243332",
"telephone_number": "716-675-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY F GABRYEL MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "858-964-1506"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NY",
"license": "131764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.