Balm of Gilead Medical Office, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

211144 Issued in NY

Legal business name

BALM OF GILEAD MEDICAL OFFICE, PC

Practice address

4626 White Plains Rd
Bronx, NY 10470-1610

Phone

(631) 737-4168

NPI assigned

Sep 29, 2015

Last updated

Sep 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Emili, MDNPI 1932287042

Title

Owner

Phone

(631) 737-4168

Specialties & licenses 2

Addresses

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.

• Gregory Emili, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1932287042
  NPD Authorized official

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1851761233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701610",
            "telephone_number": "631-737-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701610",
            "telephone_number": "631-737-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALM OF GILEAD MEDICAL OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "EMILI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-737-4168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211144",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "211144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamia Ballouk, MD
• Balm of Gilead Certified Agency
• Balm of Gilead Certified Home Care Agency Inc
• Balm of Gilead Homecare Agency
• Balm of Gilead Medical Office, PC
• Adil Baloch
• Michael Lawrence Balogh, MD
• Jessica M Balraj
• Briana Balsamo, PHARMD
• Christine Baltera

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.