Active NPI
Gabrielle J Wolfsberger, MD
- Family Medicine Physician
- Hyde Park, NY
National Provider Identifier
1124067988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 142963
- Practice address
- 4068 Albany Post Rd
Hyde Park, NY 12538-3900 - Phone
- (845) 229-2123
- Fax
- (845) 452-2156
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 142963 | NY | Primary |
Addresses
Primary practice location
4068 Albany Post Rd
Hyde Park, NY 12538-3900
Mailing address
4068 Albany Post Rd
Ste 4S
Hyde Park, NY 12538-3900
Phone (845) 229-2123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01160498 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142963 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Quest Medical Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1124067988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4068 ALBANY POST RD",
"address_2": "STE 4S",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125383900",
"telephone_number": "845-229-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4068 ALBANY POST RD",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125383900",
"telephone_number": "845-229-2123",
"fax_number": "845-452-2156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFSBERGER",
"first_name": "GABRIELLE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "142963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01160498",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.