Provider Demographics
NPI:1245310531
Name:GABAY, JACQUELINE E (MD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:E
Last Name:GABAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:619 RIVER DR
Mailing Address - Street 2:PHILLIPS EYE CENTER
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1317
Mailing Address - Country:US
Mailing Address - Phone:201-796-2020
Mailing Address - Fax:201-796-2833
Practice Address - Street 1:619 RIVER DR
Practice Address - Street 2:PHILLIPS EYE CENTER
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-1317
Practice Address - Country:US
Practice Address - Phone:201-796-2020
Practice Address - Fax:201-796-2833
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07049300207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2085765000OtherAMERIHEALTH
NJ27014OtherUNIVERSITY HEALTH PLAN
NJ102563OtherAMERIGROUP
NJ1141313OtherHORIZON NJ HEALTH
NJ180043802OtherRAILROAD MEDICARE
NJ2009002OtherUNITED HEALTHCARE
NJ2499851OtherAETNA
NJ3030563OtherUS FAMILY HEALTHCARE
NJP2051067OtherOXFORD
NJ8296502Medicaid
NJ0587523005OtherCIGNA
NJ1965609OtherFIRST HEALTH
NJ01947960OtherNY MEDICAID
NJ0499225OtherGHI
NJ380B5OtherWELLCHOICE
NJ2009002OtherUNITED HEALTHCARE
NJ180043802OtherRAILROAD MEDICARE