Active NPI
Joseph Gebke, ATC
- Athletic Trainer
- Uniondale, NY
National Provider Identifier
1366281891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003216-01
- Practice address
- 933 Goodrich St
Uniondale, NY 11553-2499 - Phone
- (618) 363-2754
- NPI assigned
- May 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003216-01 | NY | Primary |
Addresses
Primary practice location
933 Goodrich St
Uniondale, NY 11553-2499
Mailing address
93 Skelly PL
Mineola, NY 11501-3729
Phone (618) 363-2754
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003216-01 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1366281891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 SKELLY PL",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013729",
"telephone_number": "618-363-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 GOODRICH ST",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115532499",
"telephone_number": "618-363-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBKE",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003216-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uniondale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.