Individual provider Active NPI

Puneet K Gill

  • Physician Assistant
  • Hicksville, NY
National Provider Identifier
1851938781
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
51 Cedar St
Hicksville, NY 11801-3207
Phone
(516) 468-5594
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

51 Cedar St
Hicksville, NY 11801-3207

Mailing address

51 Cedar St
Hicksville, NY 11801-3207
Phone (516) 468-5594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811001188 NY Practitioner - Physician Assistant 9739504515 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

103 Jackson Ave
B
Syosset, NY 11791-3624
Phone (516) 537-9062

1033 Northern Blvd
Roslyn, NY 11576-1502
Phone (516) 537-9063

1436 Union Tpke
New Hyde Park, NY 11040-1761
Phone (516) 360-3631

3571 Long Beach Rd
Oceanside, NY 11572-5702
Phone (516) 531-6055

3631 Hempstead Tpke
63A
Levittown, NY 11756-1315
Phone (516) 537-9063

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

71 Forest Ave
Glen Cove, NY 11542-2112
Phone (347) 493-2941

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024648NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Physicians of Nyc, PLLC PastSince Aug 12, 2022 Accepting new patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: puneet.gill@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: urgentcareofny.puneetgill@156424.advancedmd-direct.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1851938781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CEDAR ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013207",
            "telephone_number": "516-468-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CEDAR ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013207",
            "telephone_number": "516-468-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "PUNEET",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.