Organization Active NPI

GNG Medical Supplies LLC

  • Interventional Pain Medicine Physician
  • Williamsville, NY
National Provider Identifier
1215446513
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
258047 Issued in NY
Legal business name
GNG MEDICAL SUPPLIES LLC
Practice address
65 Lawrence Bell Dr Ste 102
Williamsville, NY 14221-7182
Phone
(716) 276-8375
Fax
(716) 276-8381
NPI assigned
Sep 29, 2017
Last updated
Sep 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Dr. Gautam Arora, MDNPI 1831339902
Title
Sole Proprieter
Phone
(716) 206-9411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 258047 NY Primary

Addresses

Primary practice location

65 Lawrence Bell Dr Ste 102
Williamsville, NY 14221-7182

Mailing address

65 Lawrence Bell Dr Ste 102
Williamsville, NY 14221-7182
Phone (716) 276-8375

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1215446513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LAWRENCE BELL DR STE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217182",
            "telephone_number": "716-276-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LAWRENCE BELL DR STE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217182",
            "telephone_number": "716-276-8375",
            "fax_number": "716-276-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNG MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "GAUTAM",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "716-206-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "258047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.