Gary S Medows PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

098846 Issued in NY

Legal business name

GARY S MEDOWS PC

Practice address

550 G Grand St
Suite GF
New York City, NY 10002

Phone

(212) 260-5990

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By 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. Gary S Medows, MD

Title

President

Phone

(212) 260-5990

Specialties & licenses 1

Addresses

Other identifiers 7

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780714204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 G GRAND ST",
            "address_2": "SUITE GF",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "212-260-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 G GRAND ST",
            "address_2": "SUITE GF",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "212-260-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S MEDOWS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDOWS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-260-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "098846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0059117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "2C 6307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "098843",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "56411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OX",
            "identifier": "P412791",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5353537004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "GM08391210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Gabela Andrade
• Robert Kenneth Gale
• Louis C Galli Jr., DPM
• Eduardo Antonio Garcia Gobaira, M.D.
• Rosana Jose Garcia Rausseo
• Jane Gatanis, MS OTR
• Kebron Yihenew Getnet, MD
• Robert Stuart Glickman, DMD
• Brenda Elysse Goleburn, LCSW
• Rita M Golub, LCSW

• Pediatrics Physician in New York City, NY
• Providers in New York City, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.