Individual provider Active NPI

Gina L. Louie, MD

  • Vascular & Interventional Radiology Physician
  • New York, NY
National Provider Identifier
1093760266
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
178854-1 Issued in NY
Practice address
1153 1St Ave
New York, NY 10065-7768
Phone
(646) 386-2250
Fax
(847) 919-4615
NPI assigned
May 24, 2006
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA06188200 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA06188200 NJ
Vascular & Interventional Radiology Physician 2085R0204X 178854-1 NY Primary

Addresses

Primary practice location

1153 1St Ave
New York, NY 10065-7768

Mailing address

766 Shrewsbury Ave
Suite 300
Tinton Falls, NJ 07724-3001
Phone (732) 345-8346

Other practice location 1

766 Shrewsbury Ave
Suite 300
Tinton Falls, NJ 07724-3001
Phone (732) 345-8346

Other identifiers 1

IdentifierTypeStateIssuer
400113300MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040420001076 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0244225910 Reassigns benefits to 2 organizations
I20120430000048 NY Practitioner - Interventional RadiologyPractitioner - Vascular Surgery 0244225910 Reassigns benefits to 22 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Stanford University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Vein Clinics of New Jersey LLCGroup PAC ID 1355585191, 9 clinicians

Practice addresses (Care Compare)

272 Main St
Suite B
Orange, NJ 07050-3605
Phone (862) 930-1267

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
178854-1NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bushwick Professional Medical Services of New York LLC CurrentSince Dec 23, 2018 Accepting new patients
Starrett City Medical of New York LLC CurrentSince Feb 17, 2018 Accepting new patients
Pelham Pkwy Professional Medical Services of New York LLC CurrentSince May 9, 2014 Accepting new patients
Queens Professional Medical Services of New York LLC CurrentSince Jun 13, 2018 Accepting new patients
Pelham Pkwy Medical of New York LLC CurrentSince Mar 13, 2018 Accepting new patients
Foxhurst Professional Medical Services of New York LLC CurrentSince Jun 4, 2018 Accepting new patients
Jamaica Queens Medical of New York LLC CurrentSince Mar 3, 2018 Accepting new patients
Corona Medical of New York LLC CurrentSince Feb 24, 2018 Accepting new patients
USA Vascular Center of New Jersey LLC CurrentSince Sep 21, 2020 Accepting new patients
New York City Healthcare Medical Services LLC CurrentSince Jul 7, 2026 Accepting new patients
Norwood Professional Medical Services of New York LLC CurrentSince Nov 1, 2018 Accepting new patients
New York Professional Medical Services LLC CurrentSince Dec 30, 2017 Accepting new patients
Foxhurst Medical of New York LLC CurrentSince Jun 4, 2018 Accepting new patients
Astoria Medical of New York, LLC CurrentSince Feb 24, 2018 Accepting new patients
Mott Haven Professional Medical of New York LLC CurrentSince Mar 28, 2018 Accepting new patients
Quality Medical Management Corp PastSince Dec 7, 2021 Accepting new patients
Diagnostic Imaging Services, LLC PastSince Jul 1, 1997 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology Past Accepting new patients
Vascular Anesthesia Associates PLLC PastSince May 9, 2014 Accepting new patients

Locations (25 of 56)

272 Main St
#A
Orange, NJ 07050
Phone (862) 212-1084

50 E State St
Ste 100A
Trenton, NJ 08608
Phone (609) 900-3134

4201 Bergenline Ave
Ste 1A
Union City, NJ 07087

3033 Steinway St
Astoria, NY 11103
Phone (718) 709-5329

4025 Hempstead Tpke
Ste A
Bethpage, NY 11714
Phone (646) 798-8502

4025 Hempstead Tpke
Ste B
Bethpage, NY 11714
Phone (929) 207-9470

11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190

11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009

1949 Westchester Ave
Ste A
Bronx, NY 10462
Phone (929) 254-3405

1949 Westchester Ave
Ste B
Bronx, NY 10462
Phone (929) 248-4824

2157 White Plains Rd
Ste A
Bronx, NY 10462
Phone (347) 532-1845

2157 White Plains Rd
Ste B
Bronx, NY 10462

3485 Jerome Ave
#A
Bronx, NY 10467
Phone (347) 547-3099

384 E 149th St
Ste 201A
Bronx, NY 10455
Phone (844) 723-7240

384 E 149th St
Ste 201B
Bronx, NY 10455
Phone (347) 897-5441

5199 Broadway
Ste A
Bronx, NY 10463
Phone (347) 812-0779

947 Southern Blvd
Ste A
Bronx, NY 10459
Phone (718) 513-5855

947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855

2444 86th St
Brooklyn, NY 11214
Phone (718) 709-5329

2444 86th St
#102A
Brooklyn, NY 11214
Phone (347) 230-8174

2444 86th St
Ste 102A
Brooklyn, NY 11214

2511 Ocean Ave
Ste 102
Brooklyn, NY 11229
Phone (718) 504-6044

27 Graham Ave
Ste A
Brooklyn, NY 11206

27 Graham Ave
Ste B
Brooklyn, NY 11206
Phone (646) 798-8506

27 Graham Ave
Ste C
Brooklyn, NY 11206
Phone (718) 513-5880

Organizations & group practices 30

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1093760266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 SHREWSBURY AVE",
            "address_2": "SUITE 300",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243001",
            "telephone_number": "732-345-8346",
            "fax_number": "732-345-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657768",
            "telephone_number": "646-386-2250",
            "fax_number": "847-919-4615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "766 Shrewsbury Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Tinton Falls",
            "state": "NJ",
            "postal_code": "077243001",
            "country_code": "US",
            "telephone_number": "732-345-8346",
            "fax_number": "732-345-8351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "GINA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06188200",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA06188200",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "178854-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400113300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.