Joanne Maria Gamble, CRPA

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CRPA-5480 Issued in NY

Practice address

15705 Rockaway Blvd # 2a
Jamaica, NY 11434-4841

Phone

(313) 801-8570

NPI assigned

May 3, 2023

Last updated

May 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1801585146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735555",
            "telephone_number": "718-896-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15705 ROCKAWAY BLVD # 2A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344841",
            "telephone_number": "313-801-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "JOANNE",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "CRPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-5480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Gallitto, LCSW
• Jinnette Gallo, LPN
• Latasha Renee Galloway, SLP
• Sergey Galustyan, M.D.
• Angelina Gambino, PA
• Susan Gambler, LMSW
• Jessica C Ganchrow, RPA-C
• Pulkit Gandhi
• Rushik Gandhi
• Justin Gandomani, D.P.M.

• Peer Specialist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.