NPIMap

Individual provider Active NPI

Gail Fraser-Farmer

  • Legal Medicine
  • Farmingville, NY
National Provider Identifier
1841223997
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
216533 Issued in NY
Practice address
180 Granny Rd
Farmingville, NY 11738-2130
Phone
(631) 698-3258
Fax
(631) 698-3259
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 216533 NY Primary
Internal Medicine Physician 207R00000X 216533 NY

Addresses

Primary practice location

180 Granny Rd
Farmingville, NY 11738-2130

Mailing address

180 Granny Rd
Farmingville, NY 11738-2130
Phone (631) 698-3258

Other identifiers 1

IdentifierTypeStateIssuer
02207252MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050422000865 NY Practitioner - HospitalistPractitioner - Internal Medicine 8628016268 Reassigns benefits to 2 organizations
I20260317004700 NJ Practitioner - Internal Medicine 8628016268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Landing Meadow Rd
Smithtown, NY 11787-1124
Phone (631) 650-2510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Select Healthcare, Inc. CurrentSince Dec 26, 2016 Accepting new patients
Mobile Urgent Care Medical Services PC CurrentSince Feb 3, 2026 Accepting new patients
Mobile Medical Healthcare, P.C. Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Dec 26, 2016 Accepting new patients
United Cerebral Palsy Association of Greater Suffolk, Inc. Past Accepting new patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients
New York Community Hospital of Brooklyn, Inc. Internal Medicine Past Accepting new patients

Locations

701 Cooper Rd
Ste 1
Voorhees, NJ 08043
Phone (844) 553-6246

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

250 Marcus Blvd
Hauppauge, NY 11788
Phone (631) 439-4300

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

35 W 35th St
Fl 4
New York, NY 10001
Phone (844) 553-6246

883 E Main St
Riverhead, NY 11901
Phone (631) 284-5500

75 Landing Meadow Rd
Smithtown, NY 11787
Phone (631) 360-4700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: gail.fraser-farmer.1@24989.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1841223997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GRANNY RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382130",
            "telephone_number": "631-698-3258",
            "fax_number": "631-698-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GRANNY RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382130",
            "telephone_number": "631-698-3258",
            "fax_number": "631-698-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER-FARMER",
        "first_name": "GAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "216533",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02207252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

Verify at the official NPI Registry.