Giovanny Fernando Gil Sares, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

284448 Issued in NY

Practice address

87 S Ocean Ave
Patchogue, NY 11772-3702

Phone

(631) 569-5335

Fax

(631) 569-5334

NPI assigned

Jun 12, 2012

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478304000000",
    "number": "1477815843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 67TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775959",
            "telephone_number": "718-593-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 S OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723702",
            "telephone_number": "631-569-5335",
            "fax_number": "631-569-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL SARES",
        "first_name": "GIOVANNY",
        "middle_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2016-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113127",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "284448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006377600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genovese Drug Stores Inc
• Gentle Dentistry of Lancaster, PLLC
• Mary Margaret Gerig, CPHT
• Thomas F. Gerold, MD
• Denise Alexandra Gervais, LMT
• Laura Elizabeth Gil, RPA-C
• Valeria Gil, PA-C
• Ami Lin Gilbert, LMT
• Jamie Rose Gilistro, FNP
• Tara Cherrelle Gilliam, NP

• Family Medicine Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.