Gregory Mark Gale, M.D.
Individual provider Active NPI Psychiatry Physician · East Quogue, NY
NPI 1710207196 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1710207196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 273577 (NY)
- Practice address
- 15 W Side Ave
East Quogue, NY 11942-4102 - Phone
- (646) 450-2454
- Fax
- (347) 287-6867
- NPI assigned
- Jun 8, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134844 | FL | MD | Psychiatry Physician |
| 273577 | NY | MD | Psychiatry Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Medical Center | Past | Accepting new patients | |
| Beth Israel Medical Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME134844 | FL | |
| Psychiatry Physician | 2084P0800X | 273577 | NY | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
15 W Side Ave
East Quogue, NY 11942-4102
Mailing address
PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 244-3688
Other providers in East Quogue, NY
- East Quogue Ufsd
- Concepcion Fajardo
- Diana Feinberg
- Anthony Fuentes
- Diana Fuzailov
- Carol Marie Giglio
- Joseph Giglio
- Marylin Gilks
- Seth Greiner
- Monica Guerrero
All providers in East Quogue, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.