Michael Richard Gabriel

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

024286 Issued in NY

Practice address

4990 Sandalwood LN
Liverpool, NY 13088-5910

Phone

(315) 956-5298

NPI assigned

May 3, 2019

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.gabriel.1@29290.direct.athenahealth.com

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.

• Pophealthcare, LLC

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1164943957
  Medicare reassignment
• MVHS Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD
• MVHS Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  NPD
• Pophealthcare, LLC

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1326617150
  NPD

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1194380352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 SANDALWOOD LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885910",
            "telephone_number": "315-956-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 SANDALWOOD LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885910",
            "telephone_number": "315-956-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jean Freeman, NP
• Gary M Freeman, MD
• Matthew Ryan Fuller, DC, LMT
• G.R. Zaccaria & Assoc. Inc.
• Michelle M Gabay, NPP
• Enas Galal, OTR/L
• Breana Christine Gallagher, PA-C
• Cristina Marie Gambino, LPN
• Aaron Garber, MD
• Christopher Lee Gardiner, PHARMD

• Physician Assistant in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.