Individual provider Active NPI

Alan D Gimpel, M.D.

  • Anesthesiology Physician
  • Bronx, NY
National Provider Identifier
1306909767
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
158796 Issued in NY
Practice address
560 Southern Blvd
Bronx, NY 10455-3715
Phone
(718) 585-1010
Fax
(718) 585-7178
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 158796 NY Primary

Addresses

Primary practice location

560 Southern Blvd
Bronx, NY 10455-3715

Mailing address

560 Southern Blvd
Bronx, NY 10455-3715
Phone (718) 585-1010

Other identifiers 1

IdentifierTypeStateIssuer
00997306MedicaidNY

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158796NYMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306909767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553715",
            "telephone_number": "718-585-1010",
            "fax_number": "718-585-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553715",
            "telephone_number": "718-585-1010",
            "fax_number": "718-585-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMPEL",
        "first_name": "ALAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "158796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00997306",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.