Organization Active NPI

Kgao Medical PLLC

  • Anesthesiology Physician
  • Syosset, NY
National Provider Identifier
1508169178
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
224136 Issued in NY
Legal business name
KGAO MEDICAL PLLC
Practice address
15 Melanie LN
Syosset, NY 11791-5831
Phone
(516) 496-7232
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Dr. Keqin Gao, MD
Title
President
Phone
(516) 496-7232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 224136 NY Primary

Addresses

Primary practice location

15 Melanie LN
Syosset, NY 11791-5831

Mailing address

15 Melanie LN
Syosset, NY 11791-5831
Phone (516) 496-7232

Other identifiers 1

IdentifierTypeStateIssuer
1902826019OtherNYNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1508169178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MELANIE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915831",
            "telephone_number": "516-496-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MELANIE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915831",
            "telephone_number": "516-496-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KGAO MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "KEQIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-496-7232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "224136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902826019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.