Nick H Gabriel DO PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

200259 Issued in NY

Legal business name

NICK H GABRIEL DO PC

Practice address

48 Route 25a
Suite 104
Smithtown, NY 11787-1431

Phone

(631) 862-3801

Fax

(631) 862-3068

NPI assigned

Feb 9, 2010

Last updated

Feb 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nick H Gabriel, DO

Title

Owner

Phone

(631) 862-3801

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheryl E Phillips, M.P.H; R.D, CDE, CDN

  • Registered Dietitian
  • Hauppauge, NY
  • NPI 1033202841
  NPD (past)
• Jodie Brewer, PA-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1609120013
  NPD (past)

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1205168739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-862-3801",
            "fax_number": "631-862-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-862-3801",
            "fax_number": "631-862-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK H GABRIEL DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-862-3801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "200259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02126956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrean Newland
• Kirk Matthew Niemann, PHYSICAL THERAPIST
• Karen Joan Nigro
• Ivonne Nikirk, OTR
• Phani R Nimmagadda, M.D
• Perrine C Nixon, NP

• Surgery Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.