William Gibbs MD PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

226006 Issued in NY

Legal business name

WILLIAM GIBBS MD PLLC

Practice address

7742 164TH St
Fresh Meadows, NY 11366-1227

Phone

(718) 969-7900

Fax

(718) 969-7912

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William Gibbs, MD

Title

President

Phone

(718) 969-7900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1639317134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661227",
            "telephone_number": "718-969-7900",
            "fax_number": "718-969-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661227",
            "telephone_number": "718-969-7900",
            "fax_number": "718-969-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM GIBBS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-969-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "226006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Whelan
• Latesha L White, LCAT
• Kristen R Whitley, COTA/L
• Lashawn Theodora Wigfall
• Kristen J. Wilken
• Chelsea Williams
• Cindy Williams
• Danielle Williams
• Davida Williams, LMT
• Sharlene Willock, FNP, PMHNP

• Physical Medicine & Rehabilitation Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.