Individual provider Active NPI

Vladimir Gabay, M.D.

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1558458356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
158915 Issued in NY
Practice address
11510 Queens Blvd Ste Ul8
Forest Hills, NY 11375-7060
Phone
(718) 263-8282
Fax
(718) 263-7788
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 158915 NY Primary

Addresses

Primary practice location

11510 Queens Blvd Ste Ul8
Forest Hills, NY 11375-7060

Mailing address

11510 Queens Blvd Ste Ul8
Forest Hills, NY 11375-7060
Phone (718) 263-8282

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110110000002 NY Practitioner - Internal Medicine 7315136165 Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11510 Queens Blvd
Suite Ul8
Forest Hills, NY 11375-7060
Phone (718) 263-8282

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158915NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian-Queens Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: vlg9010@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBHICD/Endpoint/JBHICD
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558458356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 QUEENS BLVD STE UL8",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757060",
            "telephone_number": "718-263-8282",
            "fax_number": "718-263-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 QUEENS BLVD STE UL8",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757060",
            "telephone_number": "718-263-8282",
            "fax_number": "718-263-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABAY",
        "first_name": "VLADIMIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "158915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.