Gaboro Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GABORO MEDICAL SUPPLY

Practice address

140 N 2ND St Unit 2
Stroudsburg, PA 18360-2528

Phone

(570) 984-4700

Fax

(866) 379-5580

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Robert J FlannellyNPI 1104299205

Title

LLC Managing Member

Phone

(941) 350-0446

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Flannelly, RPH

  • Pharmacist
  • Stroudsburg, PA
  • NPI 1104299205
  NPD Authorized official

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1669034856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N 2ND ST UNIT 2",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602528",
            "telephone_number": "570-984-4700",
            "fax_number": "866-379-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N 2ND ST UNIT 2",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602528",
            "telephone_number": "570-984-4700",
            "fax_number": "866-379-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABORO MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "FLANNELLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LLC MANAGING MEMBER",
        "authorized_official_telephone_number": "941-350-0446"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gaboromed.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "140 N 2nd St Ste 3",
            "city": "Stroudsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "183602528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann M Frehulfer
• Richard K Frey, DC
• Allison A Froehlich, MD
• Nancy Jane Fulmer, MSN, CRFNP
• Danielle Fundakowski
• Anna A Gaitanos, M.ED. LPC
• Shaicimah Gant
• Carlos Joel Garcia, CRNP
• Danica Garcia
• Samantha Garofano

• All providers in Stroudsburg, PA
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.