Gabisa Medical Ma PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GABISA MEDICAL MA PLLC

Practice address

Boston Logan International Airport
Terminal E (at Door E107)
Boston, MA 02128

Phone

(617) 874-8059

Fax

(347) 926-0988

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Keith Joseph, MDNPI 1679531065

Title

Medical Director

Phone

(718) 915-1305

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jonathan K Joseph, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1679531065
  NPD Authorized official

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1710580550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W 131ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272031",
            "telephone_number": "718-915-1305",
            "fax_number": "347-926-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOSTON LOGAN INTERNATIONAL AIRPORT",
            "address_2": "TERMINAL E (AT DOOR E107)",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02128",
            "telephone_number": "617-874-8059",
            "fax_number": "347-926-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABISA MEDICAL MA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-915-1305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prakriti Gaba, MD
• Theresa Marie Gabana, M.D.
• Steven Gabardi, PHARM.D., BCPS
• Robert A Gabbay, M.D.
• Timothy Mark Gabe, DMD
• Laurel Sydney Gabler, MD, DPHIL, MSC
• Michele C. Gabree, CGC
• Samy Gabriel
• Sarah Gabriel, APRN
• Shylanda Gabriel, RN

• Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.