Ebony Janelli Powell Gayle, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

P130068 Issued in NY

Practice address

1250 Shakespeare Ave
Bronx, NY 10452-3012

Phone

(718) 583-7736

Fax

(718) 537-6180

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1578396107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 HALPERIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612631",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SHAKESPEARE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523012",
            "telephone_number": "718-583-7736",
            "fax_number": "718-537-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL GAYLE",
        "first_name": "EBONY",
        "middle_name": "JANELLI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "P130068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehdi Pouria, NP
• Pourrat Monahemi MD PC
• Andrea Poveda
• Marva J Pow, RN
• Sherese Antoinette Pow, M.S.EDU.
• Coleen T Powell Quintyne
• Aisha Powell
• Anita Nichole Powell, MS, LCAT
• Beth Powell, RN
• Cassie Sarah Powell, LMSW

• General Practice Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.