Individual provider Active NPI

Jacob Samuel Gaik, RN

  • Psychiatric/Mental Health Registered Nurse
  • Buffalo, NY
National Provider Identifier
1689832891
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
585404-01 Issued in NY
Practice address
254 Franklin St
Buffalo, NY 14202-1932
Phone
(716) 852-1117
NPI assigned
May 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 585404-01 NY Primary
Medical-Surgical Registered Nurse 163WM0705X 585404-1 NY

Addresses

Primary practice location

254 Franklin St
Buffalo, NY 14202-1932

Mailing address

83 Shoreham Pkwy
Buffalo, NY 14216-2202
Phone (716) 603-1232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
585404-1NYMDMedical-Surgical Registered Nurse
585404-01NYMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1689832891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SHOREHAM PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162202",
            "telephone_number": "716-603-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 FRANKLIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021932",
            "telephone_number": "716-852-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIK",
        "first_name": "JACOB",
        "middle_name": "SAMUEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-26",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "585404-01",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "585404-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.