Active NPI
Gamalilel Felix
- Registered Nurse
- Wallkill, NY
National Provider Identifier
1417760919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 921676
- Practice address
- 800 Red Mills Rd
Wallkill, NY 12589-3220 - Phone
- (928) 318-1795
- NPI assigned
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 921676 | NY | Primary |
Addresses
Primary practice location
800 Red Mills Rd
Wallkill, NY 12589-3220
Mailing address
1078 W Garvin St
Somerton, AZ 85350-8613
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 |
|---|---|---|---|
| 921676 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1417760919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 W GARVIN ST",
"city": "SOMERTON",
"state": "AZ",
"postal_code": "853508613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RED MILLS RD",
"city": "WALLKILL",
"state": "NY",
"postal_code": "125893220",
"telephone_number": "928-318-1795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELIX",
"first_name": "GAMALILEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "921676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.