Adel Gorgy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

117493 Issued in NY

Practice address

3648 Bertha Dr
Baldwin, NY 11510-5036

Phone

(516) 546-4436

NPI assigned

Mar 10, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1881087260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 BERTHA DR",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105036",
            "telephone_number": "516-546-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 BERTHA DR",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105036",
            "telephone_number": "516-546-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGY",
        "first_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "117493",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "117493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald Ira Goldman, MD
• Melissa Jill Goldman, L.C.S.W.-R
• Christine R. Gonzalez
• Sandhyia Gosine
• Madhulika Goyal, MD
• Sanjay Goyal, M.D.
• Graceful Aging LLC
• Patricia Graham, NP

• Internal Medicine Physician in Baldwin, NY
• Providers in Baldwin, 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 Mar 10, 2015; 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.

Verify at the official NPI Registry.