Active NPI
Gabriel George Hakim, M.D.
- Obstetrics & Gynecology Physician
- Waterbury, CT
National Provider Identifier
1649235235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 24519
- Practice address
- 18 Merrill St
Waterbury, CT 06708-2603 - Phone
- (203) 574-2229
- Fax
- (203) 753-6771
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 24519 | CT | Primary |
Addresses
Primary practice location
18 Merrill St
Waterbury, CT 06708-2603
Mailing address
18 Merrill St
Waterbury, CT 06708-2603
Phone (203) 574-2229
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00372182 | Other | CT | RAILROAD MEDICARE |
| 0245190 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24519 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Obhg Connecticut PC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
100 Grand St
Fl 1
New Britain, CT 06052
Phone (860) 224-5011
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1861985129
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1649235235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MERRILL ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082603",
"telephone_number": "203-574-2229",
"fax_number": "203-753-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 MERRILL ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082603",
"telephone_number": "203-574-2229",
"fax_number": "203-753-6771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "GABRIEL",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "24519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00372182",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0245190",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.