Organization Active NPI

GC Medical P.C.

  • Pain Medicine Physician
  • Glen Cove, NY
National Provider Identifier
1750698197
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
GC MEDICAL P.C.
Practice address
3 Brewster St
Glen Cove, NY 11542-2510
Phone
(516) 759-7702
Fax
(516) 674-0572
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Molly Walker
Title
Manager
Phone
(516) 385-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3 Brewster St
Glen Cove, NY 11542-2510

Mailing address

3 Brewster St
Glen Cove, NY 11542-2510
Phone (516) 759-7702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1750698197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BREWSTER ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422510",
            "telephone_number": "516-759-7702",
            "fax_number": "516-674-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BREWSTER ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422510",
            "telephone_number": "516-759-7702",
            "fax_number": "516-674-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GC MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-385-1525"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.