Individual provider Active NPI

Nia Joyel Gil, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1194228270
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0489049 Issued in NY
Practice address
30 E 23Rd St FL 7
New York, NY 10010-4440
Phone
(917) 480-6685
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 674247 NY
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 674247 NY
Psychiatric/Mental Health Registered Nurse 163WP0808X 674247 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0489049 NY Primary

Addresses

Primary practice location

30 E 23Rd St FL 7
New York, NY 10010-4440

Mailing address

8602 208TH St Apt 1G
Queens Village, NY 11427-2945
Phone (917) 480-6685

Other practice location 1

25121 Jericho Tpke # 1047
Bellerose, NY 11426-2202
Phone (917) 765-2094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
674247NYMDPsychiatric/Mental Health Registered Nurse
0489049NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Neigborhood Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1194228270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8602 208TH ST APT 1G",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272945",
            "telephone_number": "917-480-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 23RD ST FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104440",
            "telephone_number": "917-480-6685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25121 Jericho Tpke # 1047",
            "address_purpose": "LOCATION",
            "city": "Bellerose",
            "state": "NY",
            "postal_code": "114262202",
            "country_code": "US",
            "telephone_number": "917-765-2094",
            "fax_number": "657-699-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIL",
        "first_name": "NIA",
        "middle_name": "JOYEL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "674247",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "674247",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "674247",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "0489049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.