Martin B Gillman Sr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007375 Issued in NY

Practice address

8046 Kew Gardens Rd
Kew Gardens, NY 11415-1154

Phone

(918) 261-1000

Fax

(718) 261-0336

NPI assigned

Sep 23, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Medical and Diagnostic Center IncGroup PAC ID 9436041217, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• New York Medical & Diagnostic Center Inc

  • Family Medicine Physician
  • Kew Gardens, NY
  • NPI 1790771889
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1487640546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 KEW GARDENS RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151154",
            "telephone_number": "918-261-1000",
            "fax_number": "718-261-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8046 KEW GARDENS RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151154",
            "telephone_number": "918-261-1000",
            "fax_number": "718-261-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMAN",
        "first_name": "MARTIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "007375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01811930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Ganz, LMHC
• Christina Garcia
• Larisa Gavrielova
• George Chase Medical Physician PLLC
• Stamatoula Georgiou
• Lamar Gilmore, LCSW
• Irina Glezer, OTR/L
• Rohit Gokhale, M.B.B.S
• Michael M Goldman, M.D.
• Gerardo Antonio Gomez

• Chiropractor in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.