GS Medical Practice PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

GS MEDICAL PRACTICE PLLC

Practice address

19303 Union Tpke
Fresh Meadows, NY 11366-1874

Phone

(516) 721-4648

Fax

(516) 706-6026

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Ghulamullah ShahzadNPI 1710128996

Title

Authorized Official

Phone

(516) 784-8331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ghulamullah Shahzad, MD

  • Gastroenterology Physician
  • Fresh Meadows, NY
  • NPI 1710128996
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1336633239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 N 1ST ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402821",
            "telephone_number": "516-721-4648",
            "fax_number": "516-706-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19303 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661874",
            "telephone_number": "516-721-4648",
            "fax_number": "516-706-6026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21318 Union Tpke",
            "address_purpose": "LOCATION",
            "city": "Oakland Gardens",
            "state": "NY",
            "postal_code": "113643522",
            "country_code": "US",
            "telephone_number": "516-721-4648",
            "fax_number": "516-706-6026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GS MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "SHAHZAD",
        "authorized_official_first_name": "GHULAMULLAH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "516-784-8331"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Phillip Gross, DDS
• Michelle Grossman, MS, CCC-SLP
• Grow and Thrive LLC
• Pavel Groysman, D.O.
• Cindy Celeste Grubin, D.O.
• Grace Gu
• Sandra Guerra
• Neha Gulati, D.O.
• Polina Gulkarov
• Reeva Gupta, PA-C

• Anesthesiology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.