Active NPI
Kamal Eldin Gabry, M.D.
- Psychosomatic Medicine Physician
- Wellington, FL
National Provider Identifier
1316007248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- ME126599
- Practice address
- 12773 Forest Hill Blvd Ste 1213
Wellington, FL 33414-4760 - Phone
- (561) 510-4355
- Fax
- (561) 336-9192
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME126599 | FL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 229866 | NY | |
| General Practice Physician | 208D00000X | ME126599 | FL | |
| Psychosomatic Medicine Physician | 2084P0015X | ME126599 | FL | Primary |
Addresses
Primary practice location
12773 Forest Hill Blvd Ste 1213
Wellington, FL 33414-4760
Mailing address
9723 Wyeth CT
Wellington, FL 33414-6401
Phone (646) 662-9657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME152327 | Other | FL | MEDICAL LICENSE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126599 | FL | MD | Prescribing (Medical) Psychologist |
| 229866 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1316007248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9723 WYETH CT",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146401",
"telephone_number": "646-662-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12773 FOREST HILL BLVD STE 1213",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334144760",
"telephone_number": "561-510-4355",
"fax_number": "561-336-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRY",
"first_name": "KAMAL",
"middle_name": "ELDIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME126599",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "229866",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME126599",
"primary": false
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "FL",
"license": "ME126599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME152327",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.