Individual provider Active NPI

Brigid Alice Tracey, G.N.P.

  • Gerontology Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1205049699
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
F340439 Issued in NY
Practice address
3525 Baychester Ave
Bronx, NY 10466-5001
Phone
(718) 798-8900
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 3450439 NY
Gerontology Nurse Practitioner 363LG0600X F340439 NY Primary

Addresses

Primary practice location

3525 Baychester Ave
Bronx, NY 10466-5001

Mailing address

3525 Baychester Ave
Bronx, NY 10466-5001

Other practice location 1

69 S Broadway
yonkers
Yonkers, NY 10701-4004
Phone (914) 376-5555

Other practice location 2

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 299-7295

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
I20041026001212 NY Practitioner - Nurse Practitioner 4486615077 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Home Lifecare, ManhattanGroup PAC ID 1153231212, 11 clinicians

Practice addresses (Care Compare)

120 W 106TH St
New York, NY 10025-3923
Phone 21287050005759

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3450439NYMDGerontology Registered Nurse
F340439NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Feb 10, 2019 Accepting new patients
Parcare Community Health Network Inc CurrentSince Feb 10, 2019 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Jan 1, 2019 Accepting new patients
Jewish Home Lifecare, Manhattan CurrentSince Feb 5, 2020 Accepting new patients
Jewish Home Lifecare, Manhattan CurrentSince Feb 5, 2020 Accepting new patients
Daniel S. Berman, M.D., Infectious Diseases P.C. Past Accepting new patients

Locations

3525 Baychester Ave
Bronx, NY 10466
Phone 71867063001740

100 W Kingsbridge Rd
Bronx, NY 10468
Phone (718) 410-1480

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

120 W 106th St
New York, NY 10025
Phone (212) 870-4715

Organizations & group practices 6

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1205049699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665001",
            "telephone_number": "718-798-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 S Broadway",
            "address_2": "yonkers",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107014004",
            "country_code": "US",
            "telephone_number": "914-376-5555",
            "fax_number": "914-964-1477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10453",
            "country_code": "US",
            "telephone_number": "718-299-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "BRIGID",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "G.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NY",
            "license": "3450439",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.