Fani Gruber, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

23 019861 Issued in NY

Practice address

169 Madison Ave Ste 15370
New York, NY 10016-5101

Phone

(844) 484-7362

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL, NC, VA, VT5 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 5

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727

  NY

  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  NC, VT

  Medicare reassignment NPD
• Virtualcare Medical Services of Ny PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1992458996

  FL

  Medicare reassignment
• Mediquick Urgent Care Centers Inc

  • Urgent Care Clinic/Center
  • Palm Coast, FL
  • NPI 1053363036

  FL

  Medicare reassignment
• Telehealth Medical Services of NJ PC

  • Family Medicine Physician
  • Hoboken, NJ
  • NPI 1043976707

  FL

  Medicare reassignment
• THVC Medical Group of Ca Inc

  • Family Medicine Physician
  • Pleasanton, CA
  • NPI 1487313847

  FL

  Medicare reassignment
• Virtualcare Medical Group of Az PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1508642448

  FL

  Medicare reassignment
• Virtualcare Medical Group of Il SC

  • Family Medicine Physician
  • Westchester, IL
  • NPI 1659054575

  FL

  Medicare reassignment
• Virtualcare Medical Group of Mo PC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1336823814

  FL

  Medicare reassignment
• Virtualcare Medical Group of NE PC

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1598453573

  FL

  Medicare reassignment
• Virtualcare Medical Group of NV-Feng PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1962199679

  FL

  Medicare reassignment
• Virtualcare Medical Group of Or PC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1598468910

  FL

  Medicare reassignment

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": []
}

• Alexander John Gruber, PA-C
• Alison Gruber, MD
• Arielle Gruber
• Carolyn Joy Gruber, PA
• Deborah J Gruber, PHD, BCBA-D
• Jesse Daniel Gruber, MD
• Jessica Kim Gruber, LMFT
• Kailey Rebecca Gruber, OTR
• Michael Gruber, PH.D
• Steven Jeffrey Gruber, M.D.

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• 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.

Verify at the official NPI Registry.