Individual provider Active NPI

Gabrielle Luisa Basile, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1003405697
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345990 Issued in NY
Practice address
21 W 19TH St
New York, NY 10011-4208
Phone
(646) 665-3632
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345990 NY Primary

Addresses

Primary practice location

21 W 19TH St
New York, NY 10011-4208

Mailing address

21 W 19TH St
New York, NY 10011-4208
Phone (646) 665-3632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220429002087 NY Practitioner - Nurse Practitioner 3274920707
I20230718003340 CA Practitioner - Nurse Practitioner 3274920707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

Practice addresses (Care Compare)

2255 Ygnacio Valley Rd
Suite B1
Walnut Creek, CA 94598-3335
Phone (925) 945-7005

355 Lennon LN
Suite 255
Walnut Creek, CA 94598-2496
Phone (925) 932-7704

Hospital & facility affiliations

  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345990NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC CurrentSince Jan 14, 2022 Accepting new patients
Berman Skin Institute Medical Group Inc CurrentSince Jul 3, 2023 Accepting new patients
California Pacific Medical Group, Inc. PastSince Jul 3, 2023 Accepting new patients
University Dermatopathology Services Inc PastSince Nov 10, 2024 Accepting new patients

Locations

3581 Palmer Dr
Ste 203
Cameron Park, CA 95682
Phone (530) 676-0119

5575 W Las Positas Blvd
Ste 220
Pleasanton, CA 94588
Phone (650) 325-6000

5575 W Las Positas Blvd
Ste 230
Pleasanton, CA 94588
Phone (925) 416-1122

1 Daniel Burnham Ct
Ste 350C
San Francisco, CA 94109
Phone (415) 771-6300

2160 W Grant Line Rd
Ste 210
Tracy, CA 95377
Phone (209) 229-7245

100 Pringle Ave
Ste 425
Walnut Creek, CA 94596
Phone (925) 932-3800

1166 Live Oak Blvd
Yuba City, CA 95991
Phone (530) 751-1500

3276 Westchester Ave
Fl 2
Bronx, NY 10461
Phone (718) 931-5550

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

1727 Broadway
#2
New York, NY 10019
Phone (212) 489-6669

21 W 19th St
New York, NY 10011
Phone (212) 203-5519

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1003405697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114208",
            "telephone_number": "646-665-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114208",
            "telephone_number": "646-665-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "GABRIELLE",
        "middle_name": "LUISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.