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DR. GABRIEL MICHAEL WAGMAN M.D.
NPI 1487989190
Internal Medicine - Cardiovascular Disease in Bay Shore, NY

Active since October 14, 2009PECOS Enrolled
1916 UNION BLVD, BAY SHORE, NY 11706(631) 666-2290(631) 647-5299 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2018, Apr 10, 2017, Jul 12, 2016 (3 updates tracked since 2016).

About Dr. Gabriel Michael Wagman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GABRIEL MICHAEL WAGMAN M.D. (NPI 1487989190) is an individual cardiovascular disease provider in Bay Shore, New York, licensed in New York (255002) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Smithtown.

NPPES Registry Identity

NPI1487989190
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. GABRIEL MICHAEL WAGMANCredential: M.D.
Location Address1916 UNION BLVDBay Shore, NY 11706-7921
Mailing Address1916 Union BlvdBay Shore, NY 11706-7921 · (631) 666-2290 · Fax (631) 647-5299
Phone(631) 666-2290
Fax(631) 647-5299
Sole ProprietorNo
Enumeration DateOctober 14, 2009
Last NPPES UpdateNovember 16, 20183 updates tracked since enumeration
✔ NPI 1487989190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 255002
Definition
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.
Also ListedInternal Medicine · Adult Congenital Heart DiseaseTaxonomy 207RA0002X · License 255002 (NY)
Also ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X · License 255002 (NY)
Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X · License 255002 (NY)
1916 UNION BLVD, Bay Shore, NY 11706
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Secondary Practice Location 1

Location 1307 E Middle Country RdSmithtown, NY 11787-2829 · Phone (631) 366-4333

Other Identifiers 1

Medicaid03166589NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gabriel Michael Wagman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIERE CARDIOLOGY PLLC
Internal Medicine (Cardiovascular Disease)
1916 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (631) 666-2291
JANAIRA J TUCKER FNP
Nurse Practitioner (Family)
1916 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (516) 928-9202
DR. LAURA LENNON M.D.
Internal Medicine (Cardiovascular Disease)
1916 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (631) 666-2290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriel Wagman's NPI number?

The NPI number for Gabriel Wagman is 1487989190. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Gabriel Wagman located?

Gabriel Wagman practices at 1916 Union Blvd, Bay Shore, NY 11706. The listed phone number is (631) 666-2290.

What is Gabriel Wagman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gabriel Wagman enrolled in Medicare?

Yes. Gabriel Wagman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gabriel Wagman was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.