Active NPI
Gabrielle Aryn Fertel
- Medical Physician Assistant
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1150 N 35TH Ave # 205a
Hollywood, FL 33021-5424 - Phone
- (954) 265-7550
- NPI assigned
- Mar 28, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
1150 N 35TH Ave # 205a
Hollywood, FL 33021-5424
Mailing address
1150 N 35TH Ave # 205a
Hollywood, FL 33021-5424
Phone (954) 265-7550
Other practice location 1
3200 S University Dr
Davie, FL 33328-2018
Phone (954) 262-1250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 N 35TH Ave
Suite 205a
Hollywood, FL 33021-5424
Phone (954) 265-0000
1951 SW 172ND Ave
Suite 305
Miramar, FL 33029-5614
Phone (954) 265-0000
Hospital & facility affiliations
- Memorial Regional Hospital
- Memorial Hospital West
- Memorial Hospital Miramar
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients |
Locations
8649 NW 186th St
Ste 403
Hialeah, FL 33015
Phone (954) 265-7550
1150 N 35th Ave
Ste 205A
Hollywood, FL 33021
Phone (954) 265-0000
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
1951 SW 172nd Ave
Ste 305
Miramar, FL 33029
Phone (954) 362-2720
Organizations & group practices 4
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Hollywood, FL
- NPI 1750756466
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
-
- Pediatric Hematology & Oncology Physician
- Hollywood, FL
- NPI 1639187180
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1093465411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N 35TH AVE # 205A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215424",
"telephone_number": "954-265-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 35TH AVE # 205A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215424",
"telephone_number": "954-265-7550"
}
],
"practiceLocations": [
{
"address_1": "3200 S University Dr",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333282018",
"country_code": "US",
"telephone_number": "954-262-1250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERTEL",
"first_name": "GABRIELLE",
"middle_name": "ARYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.