Active NPI
William Gibbs Jr., M.D.
- Physical Medicine & Rehabilitation Physician
- Fresh Meadows, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 226006
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02333517 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226006 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Diagnostics Inc | Current | Accepting new patients | |
| Jamaica Healthy Medical PC | Current | Accepting new patients | |
| Kel Healthcare Medical Services PC | Current | Accepting new patients | |
| R.S. Naghavi, M.D. PLLC | Current | 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.
-
dba Rockville Medical
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1568580520
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1629892476
-
- Surgery Physician
- New York, NY
- NPI 1265197123
-
- Physical Medicine & Rehabilitation Physician
- Fresh Meadows, NY
- NPI 1639317134
-
- Diagnostic Radiology Physician
- Huntington Station, NY
- NPI 1194589119
-
- Physical Medicine & Rehabilitation Physician
- Flushing, NY
- NPI 1467694042
-
dba Center for Rehabilitation@Bronx
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1215958764
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.