Active NPI
GPM Pediatrics PC
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1619390879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1020240 | GPM Pediatrics PC | Certificate of waiver | Dec 15, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.