Individual provider Active NPI

Yael Gralla

  • Student in an Organized Health Care Education/Training Program
  • Flushing, NY
National Provider Identifier
1003680232
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
14124 70TH Ave
Flushing, NY 11367-1928
Phone
(917) 696-4165
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

14124 70TH Ave
Flushing, NY 11367-1928

Mailing address

14124 70TH Ave
Flushing, NY 11367-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260107002947 NY Practitioner - Physician Assistant 3476039652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14124 70TH Ave
Flushing, NY 11367-1928

32 Rustic Rd
Lakewood, NJ 08701-4017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034447NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Medcare, Inc. CurrentSince Dec 1, 2025 Accepting new patients

Locations

8707 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 257-2648

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1003680232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14124 70TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 70TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671928",
            "telephone_number": "917-696-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRALLA",
        "first_name": "YAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.