Active NPI
Angelina Gambino, PA
- Physician Assistant
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 94-20 Guy Brewer Blvd
Jamaica, NY 11451-0001 - Phone
- (718) 262-2000
- NPI assigned
- Mar 25, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
94-20 Guy Brewer Blvd
Jamaica, NY 11451-0001
Mailing address
1727 W End Ave
New Hyde Park, NY 11040-4024
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610001854 | NY | Practitioner - Physician Assistant | 0941600019 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- City University of New York School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore Hematology Oncology Associates PC
Practice addresses (Care Compare)
1 Delaware Dr
Suite 101
New Hyde Park, NY 11042-1116
Phone (631) 751-3000
3016 30TH Dr
Astoria, NY 11102-1874
Phone (631) 751-3000
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
Hospital & facility affiliations
- Mercy Medical Center
- St Francis Hospital - the Heart Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.72 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 89.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026519 | NY | MD | Speech-Language Pathologist |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Hospital | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| St Francis Hospital United States Catholic Conference | Current | Accepting new patients |
Locations
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
2200 Northern Blvd
Ste 204
Greenvale, NY 11548
Phone (516) 365-2144
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 9
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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
NY
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Pain Medicine (Anesthesiology) Physician
- Greenvale, NY
- NPI 1124497771
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1750439030
-
- Cardiovascular Disease Physician
- West Islip, NY
- NPI 1528386810
Hospital & facility affiliations 4
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": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1033796271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1727 W END AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-20 GUY BREWER BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114510001",
"telephone_number": "718-262-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBINO",
"first_name": "ANGELINA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.