Active NPI
Emad Malak Gabriel, DPM
- Foot Surgery Podiatrist
- Bayonne, NJ
National Provider Identifier
1750686580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N006569
- Practice address
- 654 Avenue C Ste 201
Bayonne, NJ 07002-3899 - Phone
- (201) 535-8978
- NPI assigned
- Jan 26, 2011
- Last updated
- Oct 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Assistant | 211D00000X | NU | ||
| Foot Surgery Podiatrist | 213ES0131X | N006569 | NY | Primary |
Addresses
Primary practice location
654 Avenue C Ste 201
Bayonne, NJ 07002-3899
Mailing address
654 Avenue C Ste 201
Bayonne, NJ 07002-3899
Phone (201) 535-8978
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006569 | NY | MD | Mental Health Counselor |
| N006569 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Ijkg Opco LLC | Current | Accepting new patients | |
| Shan Nagendra,M.D.P.C. | Past | Accepting new patients | |
| Advanced Surgical Group Inc. | Past | Accepting new patients | |
| Paul Hriso MD PA | Past | Accepting new patients |
Interoperability endpoints
- emad.gabriel@direct.bayonnemedicalcenter.md
- emadgabriel@mai.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Surgery Physician
- East Brunswick, NJ
- NPI 1306141221
-
- Psychiatry Physician
- Bayonne, NJ
- NPI 1649285594
-
- Specialist
- Bayonne, NJ
- NPI 1174705776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1750686580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 AVENUE C STE 201",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023899",
"telephone_number": "201-535-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 AVENUE C STE 201",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023899",
"telephone_number": "201-535-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "EMAD",
"middle_name": "MALAK",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-26",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "211D00000X",
"taxonomy_group": "",
"desc": "Assistant, Podiatric",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N006569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.