Joel Stewart Gitlin, M.D.

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

083564 Issued in NY

Practice address

155 Hill St
Unit 13
Southampton, NY 11968-5322

Phone

(631) 259-3833

Fax

(631) 259-3833

NPI assigned

Apr 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1982048575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HILL ST",
            "address_2": "UNIT 13",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685322",
            "telephone_number": "631-259-3833",
            "fax_number": "631-259-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HILL ST",
            "address_2": "UNIT 13",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685322",
            "telephone_number": "631-259-3833",
            "fax_number": "631-259-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITLIN",
        "first_name": "JOEL",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "083564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE MEDICAL LICENSE NUMBER:",
            "identifier": "083564",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE NUMBER",
            "identifier": "083564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dmitriy Generalov, DO
• Geomare Wellness Center LLC
• Adam Gerszberg, PHD, LCSW
• Gurpreet Gill, M.D
• Ivone Astrid Giraldo
• James E Giugliano, D.O.
• Louis M Goldblum, DO
• Marilyn Goldfarb
• Joshua A Goldwag, MD
• Laraine Diane Gordon, LCSW-R

• Allergy & Immunology (Internal Medicine) Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Allergy & Immunology (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.