Organization Active NPI

GPM Pediatrics PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1619390879
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GPM PEDIATRICS PC
Practice address
7715 4TH Ave
Brooklyn, NY 11209-3439
Phone
(718) 833-2300
Fax
(718) 836-2305
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Dr. Michael Elias Gabriel, M.D.
Title
Pediatrician
Phone
(718) 833-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

7715 4TH Ave
Brooklyn, NY 11209-3439

Mailing address

7715 4TH Ave
Brooklyn, NY 11209-3439
Phone (718) 833-2300

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1020240GPM Pediatrics PC7715 4TH Avenue, Brooklyn, NY 11209Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1619390879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093439",
            "telephone_number": "718-833-2300",
            "fax_number": "718-836-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093439",
            "telephone_number": "718-833-2300",
            "fax_number": "718-836-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPM PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "718-833-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.