Individual provider Active NPI

Joyce Gertrude Gholson, DO

  • Family Medicine Physician
  • Fresh Meadows, NY
National Provider Identifier
1235373978
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
251026 Issued in NY
Practice address
15905 Union Tpke
Fresh Meadows, NY 11366-1950
Phone
(718) 906-6700
Fax
(718) 906-6805
NPI assigned
Apr 24, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 251026 NY Primary

Addresses

Primary practice location

15905 Union Tpke
Fresh Meadows, NY 11366-1950

Mailing address

15905 Union Tpke
Fresh Meadows, NY 11366-1950
Phone (718) 906-6700

Other identifiers 1

IdentifierTypeStateIssuer
251026OtherNYLICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090804000538 NY Practitioner - Family PracticePractitioner - Addiction Medicine 8123171410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Health PLLCGroup PAC ID 1557434131, 18 clinicians

Practice addresses (Care Compare)

1350 Deer Park Ave
North Babylon, NY 11703-1619
Phone (631) 482-1355

Merit-based Incentive Payment System (MIPS)

Final score
94.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
251026NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Startcare, Inc. CurrentSince Mar 10, 2020 Accepting new patients
Heart and Health PLLC Single Specialty CurrentSince Aug 26, 2024 Accepting new patients
Startcare, Inc. CurrentSince Mar 10, 2020 Accepting new patients
Start Treatment & Recovery Centers Inc Single Specialty Current Accepting new patients
Cornerstone of Medical Arts Center Hospital PastSince Jul 24, 2022 Accepting new patients
Medical Arts Sanitarium, Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

494 Dumont Ave
Brooklyn, NY 11207
Phone (718) 260-2920

937 Fulton St
Brooklyn, NY 11238
Phone (718) 260-2900

3650 Route 112
Coram, NY 11727
Phone (631) 320-3200

1 Center Ln
Levittown, NY 11756
Phone (516) 454-6060

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 804-2100

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

1350 Deer Park Ave
North Babylon, NY 11703
Phone (631) 422-3200

1070 Old Country Rd
Plainview, NY 11803
Phone (516) 364-8600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235373978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661950",
            "telephone_number": "718-906-6700",
            "fax_number": "718-906-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661950",
            "telephone_number": "718-906-6700",
            "fax_number": "718-906-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "JOYCE",
        "middle_name": "GERTRUDE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "251026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "251026",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.