Organization Active NPI

Jules E. Garbus MD PC

  • Colon & Rectal Surgery Physician
  • Garden City, NY
National Provider Identifier
1316139348
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
206508 Issued in NY
Legal business name
JULES E. GARBUS MD PC
Practice address
623 Stewart Ave Ste 104
Garden City, NY 11530-4771
Phone
(516) 742-7287
Fax
(516) 385-2295
NPI assigned
Aug 14, 2007
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Dr. Jules Elliot Garbus, MDNPI 1356310809
Title
Owner
Phone
(516) 742-7287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 206508 NY Primary

Addresses

Primary practice location

623 Stewart Ave Ste 104
Garden City, NY 11530-4771

Mailing address

623 Stewart Ave Ste 104
Garden City, NY 11530-4771
Phone (516) 742-7287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000268 NY Part B Supplier - Clinic/Group Practice 8628161742 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; Garden City, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2165136Jules Garbus MD PC623 Stewart Ave - Suite 104, Garden City, NY 11530Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

226 N Belle Mead Rd
East Setauket, NY 11733
Phone (631) 675-0568

1100 Franklin Ave
Garden City, NY 11530

623 Stewart Ave
Ste 104
Garden City, NY 11530
Phone (516) 742-7287

623 Stewart Ave
Ste 115
Garden City, NY 11530
Phone (516) 742-7287

901 Stewart Ave
Ste 205
Garden City, NY 11530
Phone (516) 248-0595

8 Technology Dr
Setauket, NY 11733
Phone (631) 675-9393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1316139348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE STE 104",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-742-7287",
            "fax_number": "516-385-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE STE 104",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-742-7287",
            "fax_number": "516-385-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULES E. GARBUS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "GARBUS",
        "authorized_official_first_name": "JULES",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-742-7287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "206508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.