Individual provider Active NPI

Mitchell N Gershowitz, RPH

  • Pharmacist
  • New Hyde Park, NY
National Provider Identifier
1336385962
Registry record updated Jan 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32187 Issued in NY
Practice address
27103 80TH Ave
New Hyde Park, NY 11040-1610
Phone
(516) 470-1000
Fax
(516) 470-1020
NPI assigned
Jan 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32187 NY Primary

Addresses

Primary practice location

27103 80TH Ave
New Hyde Park, NY 11040-1610

Mailing address

2606 Bellmore Ave
Bellmore, NY 11710-4308
Phone (516) 316-5338

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
32187NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230940800000",
    "number": "1336385962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 BELLMORE AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104308",
            "telephone_number": "516-316-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27103 80TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401610",
            "telephone_number": "516-470-1000",
            "fax_number": "516-470-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHOWITZ",
        "first_name": "MITCHELL",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-03",
        "last_updated": "2009-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "32187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.