Anna Gambino

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

41 Bayberry Dr
Saint James, NY 11780-2141

Phone

(631) 241-0240

NPI assigned

Nov 17, 2015

Last updated

Feb 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Growing Zone Therapeutic

  • Developmentally Disabled Services Day Training Agency
  • Saint James, NY
  • NPI 1003961384
  NPD (past) Authorized official

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1942674783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BAYBERRY DR",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BAYBERRY DR",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802141",
            "telephone_number": "631-241-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "58534061",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Catherine Flatley, RN
• Josephine Mary Fleming, LCSW
• Kimberly Ada Flugman, P.T.
• Freight Pulse Inc.
• Mary Lou Fuhr
• Janice Lynn Gillespie, D.D.S.
• Robin Suzanne Gioia
• Daniel Girard-Domena, LCSW
• Hilary Gomes
• Margaret Y. Goodman, LMSW

• Specialist in Saint James, NY
• Providers in Saint James, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.