Kanwar Iqbal Singh Gill, MD. PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

262723 Issued in NY

Legal business name

KANWAR IQBAL SINGH GILL, MD. PC

Practice address

300 E Main St Ste 6
Smithtown, NY 11787-2900

Phone

(631) 994-1200

NPI assigned

Jul 27, 2017

Last updated

Aug 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kanwar Iqbal Singh Gill, MDNPI 1790943694

Title

MD

Phone

(631) 994-1200

Specialties & licenses 3

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22479/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kanwar Iqbal Singh Gill, MD

  • Interventional Cardiology Physician
  • Smithtown, NY
  • NPI 1790943694
  Authorized official Same address or phone

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1457875841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 COMMACK RD STE 246",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE 6",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872900",
            "telephone_number": "631-994-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6277 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117252837",
            "country_code": "US",
            "telephone_number": "631-352-0851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANWAR IQBAL SINGH GILL, MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KANWAR IQBAL",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-994-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262723",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "262723",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "262723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter S Kanaris, PHD
• Stacy Kanen-Green, LCSW
• Polly Kanganis, M.D.
• Norman J Kanter, PHD
• Manisha Kanumuri, MD
• Andrew Stephen Kaplan, PHARMD
• Jennifer Kaplan, MS OTR/L
• Melissa Kaplan
• Michael S Kaplan, DO
• Stephanie Kaplan

• Cardiovascular Disease Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.