Active NPI
Gamaliel Immanuel Medical Services PC
- Anatomic Pathology Physician
- Hempstead, NY
National Provider Identifier
1821527680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- Legal business name
- GAMALIEL IMMANUEL MEDICAL SERVICES PC
- Practice address
- 230 Hilton Ave Ste 214
Hempstead, NY 11550-8116 - Phone
- (516) 565-5556
- Fax
- (516) 483-0396
- NPI assigned
- Jun 6, 2017
- 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
- Gamaliel Immanuel, M.D.
- Title
- Owner
- Phone
- (516) 503-6139
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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | Primary |
Addresses
Primary practice location
230 Hilton Ave Ste 214
Hempstead, NY 11550-8116
Mailing address
PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Hempstead, NY
- NPI 1598855231
-
- Anatomic Pathology Physician
- New York, NY
- NPI 1023338068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497484800000",
"number": "1821527680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117620270",
"telephone_number": "631-264-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HILTON AVE STE 214",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115508116",
"telephone_number": "516-565-5556",
"fax_number": "516-483-0396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAMALIEL IMMANUEL MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-15",
"status": "A",
"authorized_official_last_name": "IMMANUEL",
"authorized_official_first_name": "GAMALIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-503-6139",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.