Active NPI
Gabrielle Luisa Basile, NP
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345990
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345990 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schweiger Dermatology PLLC | Current | Accepting new patients | |
| Berman Skin Institute Medical Group Inc | Current | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| University Dermatopathology Services Inc | Past | 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.
-
- Dermatology Physician
- Walnut Creek, CA
- NPI 1700860871
-
- Dermatology Physician
- Los Altos, CA
- NPI 1528175528
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Dermatopathology (Pathology) Physician
- Burbank, CA
- NPI 1376062141
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.