1. Home
  2. Directory
  3. New York
  4. New York New York
  5. General Practice
  6. NPI Profile

MR. JEFFERSON G A GABALLA MD
NPI 1609065580
General Practice in New York, NY

Active since October 17, 2007
166 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10016(212) 687-5560(212) 687-5530 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jefferson G A Gaballa Md NPPES

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

MR. JEFFERSON G A GABALLA MD (NPI 1609065580) is an individual general practice provider in New York, New York, licensed in New York (203423) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1609065580
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. JEFFERSON G A GABALLACredential: MD
Location Address166 MADISON AVE, 3RD FLOORNew York, NY 10016
Mailing AddressPo Box 15315Jersey City, NJ 07305 · (201) 432-2865 · Fax (201) 915-1722
Phone(212) 687-5560
Fax(212) 687-5530
Sole ProprietorNo
Enumeration DateOctober 17, 2007
✔ NPI 1609065580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 203423
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

166 MADISON AVE, New York, NY 10016
Open in Google Maps ↗

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 Jefferson Gaballa's NPI number?

The NPI number for Jefferson Gaballa is 1609065580. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Jefferson Gaballa located?

Jefferson Gaballa practices at 166 Madison Ave 3rd Floor, New York, NY 10016. The listed phone number is (212) 687-5560.

What is Jefferson Gaballa's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jefferson Gaballa was last updated on October 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.