Gabisa Medical Ma Pllc (NPI# 1710580550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1710580550 |
| Entity Type | Organization |
| Organization Name | GABISA MEDICAL MA PLLC |
| Practice Address |
Boston Logan International Airport Terminal E (at Door E107) Boston MA 02128 |
| Practice Telephone | 6178748059 |
| Practice Fax Number | 3479260988 |
| Mailing Address |
106 W 131st St New York NY 10027-2031 |
| Mailing Telephone | 7189151305 |
| Mailing Fax Number | 3479260988 |
| Authorized Official Name | Dr. Jonathan Keith Joseph (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7189151305 |
| Authorized Official Credential | MD |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-25 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639678253 | Alison Renee Greco | Clinic/Center | 20 Newbury St Ste 4, Boston, MA 02116-3289 | 2018-02-09 |
| 1629448964 | Tiffany Douglas | Clinic/Center | 1 Soldiers Field Park, Apt 501, Boston, MA 02163-1722 | 2015-09-29 |
| 1972930063 | Massachusetts Mind Center LLC | Clinic/Center | 376 Boylston St, Ste 403, Boston, MA 02116-3812 | 2013-10-03 |
| 1043340326 | Latino Health Institute Inc | Clinic/Center | 95 Berkeley St Fl 6, Boston, MA 02116-6230 | 2007-03-06 |
| 1942869342 | Mattapan Community Health Center Inc | Clinic/Center | 1575 Blue Hill Ave, Boston, MA 02126-2122 | 2019-06-10 |
| 1790258523 | Divine Life Institute LLC | Clinic/Center | 75 Arlington St Ste 500, Boston, MA 02116-3936 | 2019-01-04 |
| 1811405830 | Collins Medical Consulting | Clinic/Center | 70 Fulton St, Boston, MA 02109-1402 | 2018-01-11 |
| 1750799110 | Mcphs University | Clinic/Center | 179 Longwood Ave, Boston, MA 02115-5804 | 2014-07-30 |
| 1306259692 | Copley Dental Emergency Care | Clinic/Center | 551 Boylston St, Suite 501, Boston, MA 02116-3605 | 2014-06-04 |
| 1952687881 | Massachusetts Eye and Ear | Clinic/Center | 800 Huntington Ave, Boston, MA 02115-6303 | 2011-10-24 |
| Find all providers in BOSTON | ||||
| Street Address |
BOSTON LOGAN INTERNATIONAL AIRPORT TERMINAL E (AT DOOR E107) |
| City | BOSTON |
| State | MA |
| Zip Code | 02128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.l.c. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
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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.