Gobinda Paul Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GOBINDA PAUL PHYSICIAN PC

Practice address

8738 168TH PL
Jamaica, NY 11432-3630

Phone

(718) 874-0076

Fax

(718) 841-7499

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Gobinda Paul, MDNPI 1912323874

Title

Owner

Phone

(561) 910-4949

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Gobinda Paul, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1912323874
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1942761135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8738 168TH PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323630",
            "telephone_number": "561-910-4949",
            "fax_number": "718-841-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8738 168TH PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323630",
            "telephone_number": "718-874-0076",
            "fax_number": "718-841-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOBINDA PAUL PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "GOBINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-910-4949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04226404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.