Active NPI
Fani Gruber, PA
- Medical Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 23 019861
- Practice address
- 169 Madison Ave Ste 15370
New York, NY 10016-5101 - Phone
- (844) 484-7362
- NPI assigned
- Jul 14, 2016
- Last updated
- May 20, 2025
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 23 019861 | NY | Primary |
Addresses
Primary practice location
169 Madison Ave Ste 15370
New York, NY 10016-5101
Mailing address
600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221
Other practice location 1
1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5234
Other practice location 2
600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, NC, VA, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019861 | NY | MD | Physical Therapist |
| 23 019861 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| Samaritan Hospital of Troy, New York | Current | Accepting new patients | |
| Upstate Concierge Medicine PLLC | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Past | Accepting new patients |
Locations
2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937
72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990
1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970
8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048
525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
169 Madison Ave
Ste 15370
New York, NY 10016
Phone (844) 484-7362
2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990
1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574
17 G W Tatro Dr
Jeffersonvlle, VT 05464
Phone (912) 515-6641
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
dba MediQuick Walk In Clinic
- Urgent Care Clinic/Center
- Palm Coast, FL
- NPI 1053363036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1013360049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NORTHERN BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041004",
"telephone_number": "518-471-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15370",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "844-484-7362"
}
],
"practiceLocations": [
{
"address_1": "1300 Massachusetts Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121801628",
"country_code": "US",
"telephone_number": "518-268-5234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Northern Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122041004",
"country_code": "US",
"telephone_number": "518-471-3221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUBER",
"first_name": "FANI",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "23 019861",
"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 May 20, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.