Active NPI
Gabrielle B Gunsam
- Registered Nurse
- Smithtown, NY
National Provider Identifier
1205375292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 797792
- Practice address
- 14 Bellemeade Ave
Smithtown, NY 11787-1857 - Phone
- (631) 265-5300
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 325665 | NY | |
| Registered Nurse | 163W00000X | 797792 | NY | Primary |
Addresses
Primary practice location
14 Bellemeade Ave
Smithtown, NY 11787-1857
Mailing address
1110 Udall Rd
Bay Shore, NY 11706-2718
Phone (646) 684-6069
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 797792 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Nursing Registry, Inc. | Past | Accepting new patients | |
| Christian Nursing Registry Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Smithtown, NY
- NPI 1942587621
-
- Home Health Agency
- Smithtown, NY
- NPI 1912038274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1205375292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 UDALL RD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117062718",
"telephone_number": "646-684-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 BELLEMEADE AVE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871857",
"telephone_number": "631-265-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNSAM",
"first_name": "GABRIELLE",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-23",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "325665",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "797792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.