KANWAR IQBAL SINGH GILL, MD. PC (NPI# 1457875841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457875841 |
| Entity Type | Organization |
| Organization Name | KANWAR IQBAL SINGH GILL, MD. PC |
| Practice Address |
300 E Main St Ste 6 Smithtown NY 11787-2900 |
| Mailing Address |
169 Commack Rd Ste 246 Commack NY 11725-3442 |
| Practice Telephone | 6319941200 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | KANWAR IQBAL SINGH GILL (MD) |
| Authorized Official Telephone | 6319941200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 262723 | NY | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
262723 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
262723 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6277 Jericho Tpke, Commack, NY 117252837 | 6313520851 |
| Street Address |
300 E MAIN ST STE 6 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790943694 | Kanwar Iqbal Singh Gill | Internal Medicine | 300 E Main St Ste 6, Smithtown, NY 11787-2900 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992249346 | A.p. New York Comprehensive Medical Care PC | Internal Medicine | 732 Smithtown Byp, Suite 200, Smithtown, NY 11787-5020 | 2016-12-05 |
| 1245586528 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 48 Route 25a, Suite 303, Smithtown, NY 11787-1431 | 2012-07-24 |
| 1093977993 | Michelle Haynes Goodger | Internal Medicine | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2008-07-01 |
| 1720249618 | Phillip Ruisi | Internal Medicine | 9 Brooksite Dr, 9 Brooksite Drive,smithtown,ny,11787-3400, Smithtown, NY 11787-3400 | 2008-06-23 |
| 1366456113 | Jyoti Prakash Ganguly | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1407860471 | Island Cardiovascular Associates of Ny PC | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1558375329 | Brian Stewart Geller | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1841204526 | Cornell Michael Cohen | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1215941091 | Michael Edward Rosenband | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1073527859 | Abhay Malhotra | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| Find all providers in SMITHTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.