Gabriel Taub, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005761 Issued in NY

Practice address

371 Broadway Mall
Hicksville, NY 11801-2709

Phone

(516) 938-0055

Fax

(516) 938-8667

NPI assigned

Mar 27, 2007

Last updated

May 1, 2022By 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 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• General Long Island Eye Care LLC

  • Optometrist
  • Hicksville, NY
  • NPI 1144704230
  Medicare reassignment NPD
• Long Island Vision Optometry P.C.

  • Optometrist
  • Bay Shore, NY
  • NPI 1548635352
  Medicare reassignment NPD
• Optimum Vision, Corp

  dba General Vision Services

  • Optometrist
  • Hicksville, NY
  • NPI 1124278270
  NPD
• Broadway Mall Optical

  dba Cohen's Fashion Optical

  • Optician
  • Hicksville, NY
  • NPI 1659588390
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1417075458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 BROADWAY MALL",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012709",
            "telephone_number": "516-528-0173",
            "fax_number": "516-938-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 BROADWAY MALL",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012709",
            "telephone_number": "516-938-0055",
            "fax_number": "516-938-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUB",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Tan, MA
• Jessica Tannacore, LMSW, CASAC-T
• Krystle Mary Tantillo, PHARMD
• Hemaila Shanzeh Tariq
• Patricia J. Tassinari, MD
• Heather Taylor
• Lynda D Temple, LCSW CASAC
• Amanda Ten
• Tender Loving Care Health Care Services of Long Island, L.L.C. (Staff Builders Services)
• Carol M Teplin, MPS

• Optometrist in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.