Patrick Leo Gillette

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

147 Madison Ave
Canastota, NY 13032-4283

Phone

(315) 439-2556

NPI assigned

May 14, 2021

Last updated

May 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1407420516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MADISON AVE",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130324283",
            "telephone_number": "315-439-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MADISON AVE",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130324283",
            "telephone_number": "315-439-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "PATRICK",
        "middle_name": "LEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS THERAPY NETWORK",
            "identifier": "15779",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgille@scsd.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "147 Madison Ave",
            "city": "Canastota",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130324283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jill Fallon
• Fittings for You, Inc.
• Tracey Lynne Fitzgerald
• Courtney A Franey, LMSW
• Roseann Marie Gardinier, RN
• Kelly A Gilmore, LPN
• Greater Lenox Ambulance Service Inc
• Ashley Marie Hatch
• Patrick Earl Howlett, RPH
• Kayla Jorden, RN

• Specialist in Canastota, NY
• Providers in Canastota, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.