Jacqueline Fabello-Gamiao MD PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4301060039 Issued in MI

Legal business name

JACQUELINE FABELLO-GAMIAO MD PC

Practice address

37650 Professional Center Dr
Stuite 100a
Livonia, MI 48154-1197

Phone

(734) 462-1940

Fax

(734) 462-1960

NPI assigned

Apr 23, 2010

Last updated

Apr 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Fabello-Gamiao, MDNPI 1144208232

Title

Owner/Physician

Phone

(734) 462-1940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Jacqueline F Fabello-Gamiao, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Livonia, MI
  • NPI 1144208232
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1750608345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CENTER DR",
            "address_2": "STUITE 100A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541197",
            "telephone_number": "734-462-1940",
            "fax_number": "734-462-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CENTER DR",
            "address_2": "STUITE 100A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541197",
            "telephone_number": "734-462-1940",
            "fax_number": "734-462-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE FABELLO-GAMIAO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "FABELLO-GAMIAO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "734-462-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301060039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Jacobs
• Chelsea Jacobs, CTRS
• Mark J Jacobs, DDS
• Brian Jacobson, D.D.S.
• Callie Jacobson, DPM
• Abigail Jaczkowski
• Ali Jafri, DO
• Marilynne Jagacki
• Nachole Jagielski
• Rola Christine Jahshan

• Endocrinology, Diabetes & Metabolism Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.