Individual provider Active NPI

Jodilyn Gingold, M.D.,F.C.C.P.

  • Pulmonary Disease Physician
  • Rego Park, NY
National Provider Identifier
1578668307
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
144431 Issued in NY
Practice address
6254 97TH PL
Suite 2E
Rego Park, NY 11374-1346
Phone
(917) 832-7940
Fax
(917) 832-6864
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 144431 NY Primary

Addresses

Primary practice location

6254 97TH PL
Suite 2E
Rego Park, NY 11374-1346

Mailing address

6254 97TH PL
Suite 2E
Rego Park, NY 11374-1346
Phone (917) 832-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144431NYMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1578668307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 97TH PL",
            "address_2": "SUITE 2E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741346",
            "telephone_number": "917-832-7940",
            "fax_number": "917-832-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 97TH PL",
            "address_2": "SUITE 2E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741346",
            "telephone_number": "917-832-7940",
            "fax_number": "917-832-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGOLD",
        "first_name": "JODILYN",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.C.C.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "144431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.