Gary Anthony Soares

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

568467 Issued in NY

Practice address

15515 N Conduit Ave
Jamaica, NY 11434-4329

Phone

(347) 351-8490

NPI assigned

Apr 18, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429315200000",
    "number": "1356738231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 N CONDUIT AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344329",
            "telephone_number": "347-351-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 N CONDUIT AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344329",
            "telephone_number": "347-351-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "GARY",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-18",
        "last_updated": "2015-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "568467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sobrina Smith
• Vontaye Smith, RN,PNP
• William Smith III
• Yolanda Smith
• Kelsey Snodgrass
• Ronica Sobers
• Taha Sohail
• Protima Sohan, DDS
• Donna Theresa Soleyn
• Dina Salah Soliman

• Registered Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2015; 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.