NPIMap

Organization Active NPI

Iqbal & Devendra Gill PC

  • Internal Medicine Physician
  • Brentwood, NY
National Provider Identifier
1689718413
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IQBAL & DEVENDRA GILL PC
Practice address
1556 Islip Ave
Brentwood, NY 11717
Phone
(631) 582-5325
Fax
(631) 234-3635
NPI assigned
Feb 16, 2007
Last updated
Jul 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Iqbal Singy Gill, MDNPI 1659415404
Title
President
Phone
(631) 582-5325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1556 Islip Ave
Brentwood, NY 11717

Mailing address

1556 Islip Ave
Brentwood, NY 11717
Phone (631) 582-5325

Other identifiers 1

IdentifierTypeStateIssuer
00621201MedicaidNY

National Provider Directory

National Provider Directory

Locations

1556 Islip Ave
Brentwood, NY 11717
Phone (631) 234-8555

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1689718413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 ISLIP AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-582-5325",
            "fax_number": "631-234-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 ISLIP AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-582-5325",
            "fax_number": "631-234-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQBAL & DEVENDRA GILL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_middle_name": "SINGY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-582-5325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00621201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.