Active NPI
Gaps Collaborative TX
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1992372981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GAPS COLLABORATIVE TX
- Practice address
- 3301 View St
Fort Worth, TX 76103-2425 - Phone
- (212) 734-6621
- NPI assigned
- Jun 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitty Falkowitz
- Title
- Director
- Phone
- (212) 734-6621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3301 View St
Fort Worth, TX 76103-2425
Mailing address
250 Skillman St Ste 202
Brooklyn, NY 11205-1218
Phone (212) 734-6621
National Provider Directory
National Provider DirectoryLocations
4910 Wellington St
Greenville, TX 75402
Phone (903) 454-3772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1992372981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SKILLMAN ST STE 202",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051218",
"telephone_number": "212-734-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 VIEW ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761032425",
"telephone_number": "212-734-6621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAPS COLLABORATIVE TX",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-08",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "FALKOWITZ",
"authorized_official_first_name": "YITTY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "212-734-6621"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.