Individual provider Active NPI

Audrey Gilzeane, NP

  • Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1083651350
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F302234 Issued in NY
Practice address
589 Rockaway Ave
Brooklyn, NY 11212-5624
Phone
(212) 293-3000
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F302234 NY Primary

Addresses

Primary practice location

589 Rockaway Ave
Brooklyn, NY 11212-5624

Mailing address

589 Rockaway Ave
Brooklyn, NY 11212-5624
Phone (212) 293-3000

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
I20071215000136 NY Practitioner - Nurse Practitioner 2961592860 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
302234NYMDLicensed Practical Nurse
F302234NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Start Treatment & Recovery Centers Inc Current Accepting new patients
Startcare, Inc. CurrentSince Nov 13, 2019 Accepting new patients
Areba Casriel, Inc. Nurse Practitioner CurrentSince Jun 23, 2024 Accepting new patients
Startcare, Inc. CurrentSince Nov 13, 2019 Accepting new patients
Medical Director Services PC CurrentSince Oct 1, 2020 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

937 Fulton St
Brooklyn, NY 11238
Phone (718) 260-2900

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

119 W 124th St
New York, NY 10027
Phone (212) 932-2676

Interoperability endpoints

  • Direct secure messaging: agilzeane@direct.meditouchehr.com

Organizations & group practices 7

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1083651350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125624",
            "telephone_number": "212-293-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125624",
            "telephone_number": "212-293-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILZEANE",
        "first_name": "AUDREY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F302234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.