Individual provider Active NPI

Gabriel Zayat, M.D.

  • Family Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1851454557
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
149657 Issued in NY
Practice address
3524 78TH St
#B-14
Jackson Heights, NY 11372-4750
Phone
(718) 639-2600
Fax
(718) 639-3065
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 149657 NY Primary

Addresses

Primary practice location

3524 78TH St
#B-14
Jackson Heights, NY 11372-4750

Mailing address

35-24 78TH Street
#B-14
Jackson Heights, NY 11372-4750
Phone (718) 639-2600

Other identifiers 1

IdentifierTypeStateIssuer
00723735MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149657NYMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: gabriel.zayat@queensmedical.ehi.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1851454557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-24 78TH STREET",
            "address_2": "#B-14",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724750",
            "telephone_number": "718-639-2600",
            "fax_number": "718-639-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 78TH ST",
            "address_2": "#B-14",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724750",
            "telephone_number": "718-639-2600",
            "fax_number": "718-639-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAT",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "149657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00723735",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.