DR. WILLIAM GAEL M.D.
NPI 1104185545
Internal Medicine in Pomona, NY

NPI Status: Active since May 04, 2012

Contact Information

972 ROUTE 45
SUITE103
POMONA, NY
ZIP 10970
Phone: (212) 472-1900

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  • Individual
  • Male
  • Internal Medicine
  • PECOS Enrolled

About WILLIAM GAEL

This page provides the complete NPI Profile along with additional information for William Gael, an internist established in Pomona, New York with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1104185545 assigned on May 2012. The practitioner's primary taxonomy code is 207R00000X with license number 189945 (NY). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1104185545
Provider Name
DR. WILLIAM GAEL M.D.
Gender
Male
Entity Type
Individual
Location Address
972 ROUTE 45 SUITE103 POMONA, NY 10970
Location Phone
(212) 472-1900
Mailing Address
1225 RIVER RD APT. 4D EDGEWATER, NJ 07020
Mailing Phone
(201) 886-2495
Is Sole Proprietor?
Yes
Enumeration Date
05-04-2012
Last Update Date
05-04-2012
Code Navigator

An internist like William Gael is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
189945
License State
NY
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Medicare Participation & PECOS Enrollment Status

William Gael is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10970 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $154.28
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $38.57
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $117.62
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $29.4
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104185545, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 2 + 8 + 1 + 0 + 5 + 8 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104185545.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
972 ROUTE 45, POMONA PROFESSIONAL PLAZA
POMONA, NY 10970
Dentist
972 ROUTE 45
POMONA, NY 10970
Dentist (General Practice)
972 ROUTE 45, STE 102
POMONA, NY 10970
Dentist (Oral and Maxillofacial Surgery)
972 ROUTE 45, SUITE 102
POMONA, NY 10970
Internal Medicine (Cardiovascular Disease)
972 ROUTE 45, SUITE 103
POMONA, NY 10970
Psychiatry & Neurology (Psychiatry)
972 ROUTE 45, STE 203
POMONA, NY 10970
Radiology (Diagnostic Radiology)
972 ROUTE 45, POMONA PROFESSIONAL PLAZA
POMONA, NY 10970
Specialist
972 ROUTE 45, SUITE 103
POMONA, NY 10970
Obstetrics & Gynecology (Obstetrics)
972 ROUTE 45
POMONA, NY 10970

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104185545, enumerated as an "individual" on May 04, 2012.

The provider is located at 972 ROUTE 45 SUITE103 POMONA, NY 10970 and the phone number is (212) 472-1900.

Internal Medicine with taxonomy code 207R00000X.