Individual provider Active NPI

Barry R Gimbel, MD

  • Internal Medicine Physician
  • Mineola, NY
National Provider Identifier
1366459281
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
111010 Issued in NY
Practice address
215 Willis Ave
Mineola, NY 11501-2608
Phone
(516) 746-2334
Fax
(516) 746-2336
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 111010 NY Primary

Addresses

Primary practice location

215 Willis Ave
Mineola, NY 11501-2608

Mailing address

215 Willis Ave
Mineola, NY 11501-2608
Phone (516) 746-2334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000137 NY Practitioner - Internal Medicine 8022132331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
111010NYMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1366459281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012608",
            "telephone_number": "516-746-2334",
            "fax_number": "516-746-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012608",
            "telephone_number": "516-746-2334",
            "fax_number": "516-746-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBEL",
        "first_name": "BARRY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "111010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.