Individual provider Active NPI

Jacqueline Gebert, M.S.ED

  • Specialist
  • Maspeth, NY
National Provider Identifier
1578825048
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
840023 Issued in NY
Practice address
5820 69TH PL
Maspeth, NY 11378-2626
Phone
(917) 698-1933
NPI assigned
Jun 11, 2012
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 840023 NY Primary

Addresses

Primary practice location

5820 69TH PL
Maspeth, NY 11378-2626

Mailing address

5820 69TH PL
Maspeth, NY 11378-2626
Phone (917) 698-1933

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
840023NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1578825048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 69TH PL",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782626",
            "telephone_number": "917-698-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 69TH PL",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782626",
            "telephone_number": "917-698-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBERT",
        "first_name": "JACQUELINE",
        "credential": "M.S.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "840023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.