Active NPI
Gaelle Dennery
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1063171437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 404697
- Practice address
- 3305 Foster Ave
Brooklyn, NY 11210-6407 - Phone
- (123) 456-7890
- NPI assigned
- Dec 14, 2021
- Last updated
- Jan 19, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 404697 | NY | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 709444 | NY |
Addresses
Primary practice location
3305 Foster Ave
Brooklyn, NY 11210-6407
Mailing address
338 Van Nostrand Ave
Jersey City, NJ 07305-1309
Phone (347) 285-1565
Other practice location 1
34-25 Vernon BLVD Long Island City
Queens, NY 11106
Phone (844) 815-1508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 709444 | NY | MD | Psychiatric/Mental Health Registered Nurse |
| 404697 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1063171437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 VAN NOSTRAND AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073051309",
"telephone_number": "347-285-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 FOSTER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112106407",
"telephone_number": "123-456-7890"
}
],
"practiceLocations": [
{
"address_1": "34-25 Vernon BLVD Long Island City",
"address_purpose": "LOCATION",
"city": "Queens",
"state": "NY",
"postal_code": "11106",
"country_code": "US",
"telephone_number": "844-815-1508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNERY",
"first_name": "GAELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-14",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "404697",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "709444",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.