Gamma Medical Diagnostic, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GAMMA MEDICAL DIAGNOSTIC, PC

Practice address

10915 Queens Blvd Ste 1P
Forest Hills, NY 11375-5482

Phone

(718) 261-1043

Fax

(718) 261-1017

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ilya Y Burshteyn, MDNPI 1073546131

Title

President

Phone

(718) 261-1043

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilya Y Burshteyn, MD

  • General Practice Physician
  • Forest Hills, NY
  • NPI 1073546131
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932206893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10915 QUEENS BLVD STE 1P",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755482",
            "telephone_number": "718-261-1043",
            "fax_number": "718-261-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 QUEENS BLVD STE 1P",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755482",
            "telephone_number": "718-261-1043",
            "fax_number": "718-261-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMA MEDICAL DIAGNOSTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURSHTEYN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-261-1043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Lucia Gallego Leal
• Irma Trisha Gallegos, PT
• Jaime M Gamatero Jr., P.T.
• Celina Gamba
• Sara Elvira Gamez Mendoza
• Hillary Gan
• Jessica Gangapersaud, LMSW
• Laura Ximena Garcia Bolanos
• Cristian Evelio Garcia Caraballo, MD
• Isabel Cristina Garcia Martinez

• Multi-Specialty Clinic/Center in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.