Gary Kimmel, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

214093 Issued in NY

Practice address

112 Prospect Park W
Brooklyn, NY 11215-3710

Phone

(718) 832-9488

Fax

(718) 369-1753

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: garykimmel@mai.allscriptsdirect.net

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.

• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Arie Fleischer, M.D., P.C.

  • Plastic Surgery Physician
  • Brooklyn, NY
  • NPI 1366718496
  NPD (past)
• University Group Medical Associates, P.C

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1285683102
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215940671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153710",
            "telephone_number": "718-832-9488",
            "fax_number": "718-369-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153710",
            "telephone_number": "718-832-9488",
            "fax_number": "718-369-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "214093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Kimble, MD
• Anna Kimelfeld, N.P.
• Ezra Kimelstein, OTR/L
• Jaya Shankar Sai Kumar Kimidi, M.D.
• Allison Urbanik Kimmel, LAC
• Rivka Kimmel
• Warren Tzvi Kimmel, D.C.
• Yitta T Kimmel, OTR
• Yonason Kimmel
• Alexander D. Kimon, D.M.D.

• Plastic and Reconstructive Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.