Individual provider Active NPI

Gabriella Ambrosino, PA

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1194543546
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
032740 Issued in NY
Practice address
1345 Avenue of the Americas
New York, NY 10105-0302
Phone
(844) 824-8963
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 032740 NY Primary

Addresses

Primary practice location

1345 Avenue of the Americas
New York, NY 10105-0302

Mailing address

1345 Avenue of the Americas
New York, NY 10105-0302

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
I20241120001664 NY Practitioner - Physician Assistant 3476088048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1150 3Rd Ave
New York, NY 10065-5913
Phone (212) 933-0007

138 Delancey St
New York, NY 10002-3325
Phone (212) 609-2541

138 Fulton St
New York, NY 10038-2521
Phone (212) 271-4896

14 W 14TH St
New York, NY 10011-7524
Phone (212) 390-0558

1919 Hempstead Tpke
East Meadow, NY 11554-1710
Phone (516) 227-2273

2025 Broadway
New York, NY 10023-5016
Phone (212) 390-8812

216 E 14TH St
New York, NY 10003-4105

235 Glen Cove Rd
Carle Place, NY 11514-1221
Phone (516) 877-2273

292 Herricks Rd
Mineola, NY 11501-1119
Phone (516) 746-2273

30 Franklin Ave
Franklin Square, NY 11010-2527
Phone (516) 352-0253

315 W 57TH St
New York, NY 10019-3158
Phone (212) 315-2330

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

37 W 23Rd St
New York, NY 10010-5389
Phone (646) 596-9267

400 W 23Rd St
New York, NY 10011-2122
Phone (929) 476-0462

5 Penn PLZ
New York, NY 10001-1810
Phone (646) 647-1249

560 Merrick Rd
Rockville Centre, NY 11570-5445
Phone (516) 858-2373

561 3Rd Ave
New York, NY 10016-3109
Phone (212) 729-4668

585 Merrick Rd
Lynbrook, NY 11563-2311
Phone (516) 764-2273

87 Chambers St
New York, NY 10007-1805
Phone (212) 335-0594

874 Flatbush Ave
Brooklyn, NY 11226-3102
Phone (718) 571-9372

904 W Beech St
Long Beach, NY 11561-1429
Phone (516) 272-4353

944 2ND Ave
New York, NY 10022-7805
Phone (212) 271-4864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
032740NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Oct 7, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 7, 2024 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: gabriella.ambrosino.1@2983.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1194543546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050302",
            "telephone_number": "844-824-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSINO",
        "first_name": "GABRIELLA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "032740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.