Active NPI
Max Gilbert, R.P.H
- Pharmacist
- Stony Brook, NY
National Provider Identifier
1912185190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28243
- Practice address
- 2162 Nesconset Hwy
Stony Brook, NY 11790-3503 - Phone
- (631) 444-0968
- Fax
- (631) 444-0963
- NPI assigned
- Feb 10, 2008
- Last updated
- Feb 10, 2008
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28243 | NY | Primary |
Addresses
Primary practice location
2162 Nesconset Hwy
Stony Brook, NY 11790-3503
Mailing address
63 Thadford St
East Northport, NY 11731-4940
Phone (631) 368-0276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28243 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldbaum Inc | Past | Accepting new patients | |
| Waldbaum Inc | Past | Accepting new patients |
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, 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": "1202601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202601600000",
"number": "1912185190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 THADFORD ST",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314940",
"telephone_number": "631-368-0276",
"fax_number": "631-368-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2162 NESCONSET HWY",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903503",
"telephone_number": "631-444-0968",
"fax_number": "631-444-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "MAX",
"name_prefix": "Mr.",
"credential": "R.P.H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-10",
"last_updated": "2008-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "28243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.