Gabrielle Fassman

Primary specialty

Social WorkerTaxonomy code 104100000X

License

094268 Issued in NY

Practice address

360 State Route 17M Ste 4
Monroe, NY 10950

Phone

(845) 547-0479

NPI assigned

Mar 10, 2015

Last updated

May 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Exodus Clinic LLC

  • Clinic/Center
  • Monroe, NY
  • NPI 1689988149
  NPD (past)

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1144613563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503444",
            "telephone_number": "845-547-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950",
            "telephone_number": "845-547-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "671 State Route 17M",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NY",
            "postal_code": "109503318",
            "country_code": "US",
            "telephone_number": "845-837-1635",
            "fax_number": "845-837-1634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASSMAN",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Footcare Group, LLP
• Jing Fan
• Joseph Farkas
• Rafael Farkas, DDS
• Tzvi Farkas, FNP-C
• Tatiana Evelyn Febres
• Samantha Ann Feinberg
• Esther Perel Felder
• Jennifer Feliz
• Talia Felman, D.M.D

• Social Worker in Monroe, NY
• Providers in Monroe, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.