Active NPI
Yoseph Gurevich, M.D.
- Pediatric Gastroenterology Physician
- Babylon, NY
National Provider Identifier
1871932509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 284783
- Practice address
- 655 Deer Park Ave
Babylon, NY 11702 - Phone
- (631) 321-2100
- NPI assigned
- Jun 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 284783 | NY | Primary |
Addresses
Primary practice location
655 Deer Park Ave
Babylon, NY 11702
Mailing address
655 Deer Park Ave
Babylon, NY 11702-1314
Phone (631) 321-2100
Other practice location 1
222 Station Plz N
Suite 611
Mineola, NY 11501-3800
Phone (516) 663-8443
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Charles Hospital Corp | Current | Accepting new patients | |
| Samaritan Pediatric Services, P.C. | Current | Accepting new patients |
Locations
655 Deer Park Ave
Babylon, NY 11702
Phone (631) 321-2100
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- ygurevich70383@direct-chsli.net
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Babylon, NY
- NPI 1730308925
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1497765630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1871932509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 DEER PARK AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "117021314",
"telephone_number": "631-321-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 DEER PARK AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "11702",
"telephone_number": "631-321-2100"
}
],
"practiceLocations": [
{
"address_1": "222 Station Plz N",
"address_2": "Suite 611",
"address_purpose": "LOCATION",
"city": "Mineola",
"state": "NY",
"postal_code": "115013800",
"country_code": "US",
"telephone_number": "516-663-8443",
"fax_number": "516-663-8955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUREVICH",
"first_name": "YOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-16",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NY",
"license": "284783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.