Active NPI
Jeffrey H Gimbel MD LLC
- Internal Medicine Physician
- Wallingford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 037053
- Legal business name
- JEFFREY H GIMBEL MD LLC
- Practice address
- 50 S Main St
Wallingford, CT 06492-4219 - Phone
- (203) 269-9400
- Fax
- (203) 269-9455
- NPI assigned
- Feb 18, 2010
- Last updated
- Oct 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey H Gimbel, M.D.
- Title
- President
- Phone
- (203) 269-9400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 037053 | CT | Primary |
Addresses
Primary practice location
50 S Main St
Wallingford, CT 06492-4219
Mailing address
PO Box 864
Wallingford, CT 06492-0864
Phone (203) 269-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3 Lincoln St
North Haven, CT 06473
Phone (203) 269-9400
50 S Main St
Wallingford, CT 06492
Phone (203) 269-9400
50 S Main St
Ste 3A
Wallingford, CT 06492
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDHAAA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- North Haven, CT
- NPI 1861436735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287100800000",
"number": "1811219801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 864",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064920864",
"telephone_number": "203-269-9400",
"fax_number": "203-269-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S MAIN ST",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924219",
"telephone_number": "203-269-9400",
"fax_number": "203-269-9455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY H GIMBEL MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-18",
"last_updated": "2010-10-15",
"status": "A",
"authorized_official_last_name": "GIMBEL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-269-9400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "037053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.