Individual provider Active NPI

William Gibbs Jr., M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fresh Meadows, NY
National Provider Identifier
1881660959
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
226006 Issued in NY
Practice address
7568 187TH St
Fresh Meadows, NY 11366-1726
Phone
(718) 969-7900
Fax
(718) 969-7912
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 226006 NY Primary

Addresses

Primary practice location

7568 187TH St
Fresh Meadows, NY 11366-1726

Mailing address

7568 187TH St
Fresh Meadows, NY 11366-1726
Phone (718) 969-7900

Other identifiers 1

IdentifierTypeStateIssuer
02333517MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001151 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 9234027574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R.S. Naghavi, M.D. PLLCGroup PAC ID 1658461751, 3 clinicians

Practice addresses (Care Compare)

178 Sunrise Hwy
Rockville Centre, NY 11570-4704
Phone (516) 536-5765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226006NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Diagnostics Inc CurrentSince Jan 2, 2025 Accepting new patients
Jamaica Healthy Medical PC CurrentSince Oct 26, 2024 Accepting new patients
Kel Healthcare Medical Services PC CurrentSince Feb 20, 2025 Accepting new patients
R.S. Naghavi, M.D. PLLC CurrentSince Sep 1, 2025 Accepting new patients
Aim Occupational Therapy Physical Medicine & Rehabilitation Past Accepting new patients
Outpatient Rehab. Centers of N.Y. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1530 Bedford Ave
Fl 3
Brooklyn, NY 11216
Phone (718) 400-6951

178 Sunrise Hwy
Rockville Ctr, NY 11570
Phone (516) 536-5765

1866 Wading River Manor Rd
Wading River, NY 11792
Phone (631) 910-4200

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1881660959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7568 187TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661726",
            "telephone_number": "718-969-7900",
            "fax_number": "718-969-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7568 187TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661726",
            "telephone_number": "718-969-7900",
            "fax_number": "718-969-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "226006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02333517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.