Active NPI
Diane B Gay, NP
- Nurse Practitioner
- E Patchogue, NY
National Provider Identifier
1295937035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 271847-1
- Practice address
- 260 Patchogue Yaphank Rd
E Patchogue, NY 11772-4886 - Phone
- (631) 289-0300
- Fax
- (631) 289-0402
- NPI assigned
- Jun 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 271847-1 | NY | Primary |
Addresses
Primary practice location
260 Patchogue Yaphank Rd
E Patchogue, NY 11772-4886
Mailing address
260 Patchogue Yaphank Rd
E Patchogue, NY 11772-4886
Phone (631) 289-0300
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)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271847-1 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great South Bay Endoscopy Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- East Patchogue, NY
- NPI 1366864514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1295937035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 PATCHOGUE YAPHANK RD",
"city": "E PATCHOGUE",
"state": "NY",
"postal_code": "117724886",
"telephone_number": "631-289-0300",
"fax_number": "631-289-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 PATCHOGUE YAPHANK RD",
"city": "E PATCHOGUE",
"state": "NY",
"postal_code": "117724886",
"telephone_number": "631-289-0300",
"fax_number": "631-289-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "DIANE",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "271847-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in E Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.