Organization Active NPI

Gabay ENT & Associates, Inc.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Phila, PA
National Provider Identifier
1790755437
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
GABAY ENT & ASSOCIATES, INC.
Practice address
9500 Roosevelt Blvd
Phila, PA 19115
Phone
(215) 969-5650
Fax
(215) 969-5651
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Raphael Gabay, DONPI 1700863743
Title
Owner
Phone
(215) 969-5650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

9500 Roosevelt Blvd
Phila, PA 19115

Mailing address

9500 Roosevelt Blvd
Phila, PA 19115
Phone (215) 969-5650

Other identifiers 1

IdentifierTypeStateIssuer
001396924000YMedicaidPA

Other names 1

  • Gabay schartz enty associates Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000199 PA Part B Supplier - Clinic/Group Practice 8224939244 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1790755437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ROOSEVELT BLVD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-969-5650",
            "fax_number": "215-969-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ROOSEVELT BLVD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-969-5650",
            "fax_number": "215-969-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABAY ENT & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "GABAY",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-969-5650",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001396924000Y",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabay schartz enty associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.