NPIMap

Individual provider Active NPI

Charles A Gambino, DO

  • Internal Medicine Physician
  • Sea Cliff, NY
National Provider Identifier
1740366434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183378-1 Issued in NY
Practice address
207 Glen Cove Ave
Sea Cliff, NY 11579
Phone
(516) 676-1742
Fax
(516) 676-9662
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 183378-1 NY Primary

Addresses

Primary practice location

207 Glen Cove Ave
Sea Cliff, NY 11579

Mailing address

207 Glen Cove Ave
Sea Cliff, NY 11579
Phone (516) 676-1742

Other identifiers 1

IdentifierTypeStateIssuer
01636048MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000427 NY Practitioner - Internal Medicine 2860578465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

207 Glen Cove Ave
Sea Cliff, NY 11579-1455
Phone (516) 676-1742

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
183378-1NYMDInternal Medicine Physician

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: cgambino307571@nyumc.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740366434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GLEN COVE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "11579",
            "telephone_number": "516-676-1742",
            "fax_number": "516-676-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GLEN COVE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "11579",
            "telephone_number": "516-676-1742",
            "fax_number": "516-676-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183378-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01636048",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Cliff, NY

Sources for this page

Verify at the official NPI Registry.