Active NPI
Joyce Gertrude Gholson, DO
- Family Medicine Physician
- Fresh Meadows, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 251026
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251026 | Other | NY | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251026 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Startcare, Inc. | Current | Accepting new patients | |
| Heart and Health PLLC | Single Specialty | Current | Accepting new patients |
| Startcare, Inc. | Current | Accepting new patients | |
| Start Treatment & Recovery Centers Inc | Single Specialty | Current | Accepting new patients |
| Cornerstone of Medical Arts Center Hospital | Past | Accepting new patients | |
| Medical Arts Sanitarium, Inc. | Past | 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.
-
- Mental Health Counselor
- New York, NY
- NPI 1235674409
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1689625154
-
- Substance Abuse Rehabilitation Facility
- Flushing, NY
- NPI 1316112097
-
dba Cornerstone of Medical Arts Center Hospital
- Substance Use Disorder Rehabilitation Hospital Unit
- Fresh Meadows, NY
- NPI 1639197551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.