Active NPI
Nissim Gabay
- Family Nurse Practitioner
- Miami Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F03240584
- Practice address
- 15600 NW 67TH Ave
Miami Lakes, FL 33014-2174 - Phone
- (844) 665-4827
- NPI assigned
- Sep 13, 2023
- Last updated
- Mar 31, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03240584 | FL | Primary |
| Registered Nurse | 163W00000X | RN9576952 | FL |
Addresses
Primary practice location
15600 NW 67TH Ave
Miami Lakes, FL 33014-2174
Mailing address
15600 NW 67TH Ave Ste 301
Miami Lakes, FL 33014-2176
Phone (844) 665-4827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18610 NW 87TH Ave
Suite 101
Hialeah, FL 33015-3519
Phone (844) 667-4827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9576952 | FL | MD | Registered Nurse |
| F03240584 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
18610 NW 87th Ave
Ste 101
Miami Gardens, FL 33015
Phone (305) 829-5000
15600 NW 67th Ave
Ste 301
Miami Lakes, FL 33014
Phone (786) 792-3402
Interoperability endpoints
- nissim.gabay@wwmp.eclinicaldirectplus.com
Organizations & group practices 1
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": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711843200000",
"number": "1932986700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 NW 67TH AVE STE 301",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142176",
"telephone_number": "844-665-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 NW 67TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142174",
"telephone_number": "844-665-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABAY",
"first_name": "NISSIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-13",
"last_updated": "2024-03-31",
"certification_date": "2024-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F03240584",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9576952",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.