Individual provider Active NPI

Teal Annadele Gasbarro, FNP

  • Family Nurse Practitioner
  • Catskill, NY
National Provider Identifier
1154722213
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338892 Issued in NY
Practice address
10 Grandview Ave
Catskill, NY 12414-2010
Phone
(518) 943-9100
NPI assigned
Sep 9, 2014
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338892 NY Primary

Addresses

Primary practice location

10 Grandview Ave
Catskill, NY 12414-2010

Mailing address

10 Grandview Ave
Catskill, NY 12414-2010
Phone (518) 943-9100

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
I20141013002009 NY Practitioner - Nurse Practitioner 2365662426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial Regional Medical PLLCGroup PAC ID 2567865447, 7 clinicians

Practice addresses (Care Compare)

130 Main St
Cairo, NY 12413-3112
Phone (518) 622-3200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital Current Accepting new patients
Columbia Memorial Hospital CurrentSince May 12, 2022 Accepting new patients
Columbia Memorial Regional Medical PLLC CurrentSince Sep 13, 2021 Accepting new patients
Columbia Memorial Hospital CurrentSince May 12, 2022 Accepting new patients
Columbia Memorial Health Past Accepting new patients

Locations

130 Main St
Cairo, NY 12413
Phone (518) 589-6843

10 Grandview Ave
Catskill, NY 12414
Phone (518) 943-9100

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: tgasbarro99302@albanymed.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1154722213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRANDVIEW AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124142010",
            "telephone_number": "518-943-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRANDVIEW AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124142010",
            "telephone_number": "518-943-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASBARRO",
        "first_name": "TEAL",
        "middle_name": "ANNADELE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

Verify at the official NPI Registry.