DR. JOHN RICHARD GAVENCAK MD NPI 1821089392

NPI Information

  • NPI: 1821089392
  • Provider Name: DR. JOHN RICHARD GAVENCAK, MD
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 ATLANTIC AVE
    EAST ROCKAWAY, NY
    ZIP 11518
  • Phone: (516) 599-2732

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NPI Details

DR. John Richard Gavencak, MD is an allergy allergy immunology in East Rockaway, NY with 52 years of experience. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee DR. John Richard Gavencak, MD NPI is 1821089392. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1974

The provider's business location address is:

400 ATLANTIC AVE
EAST ROCKAWAY, NY
ZIP 11518-433
Phone: (516) 599-2732
Fax: (516) 593-2075

The NPI 1821089392 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergy124874NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B13164MEDICARE UPIN
2330821MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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