Active NPI
Brigid Alice Tracey, G.N.P.
- Gerontology Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- F340439
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3450439 | NY | MD | Gerontology Registered Nurse |
| F340439 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Park Avenue Pediatrics, P.C. | Current | Accepting new patients | |
| Jewish Home Lifecare, Manhattan | Current | Accepting new patients | |
| Jewish Home Lifecare, Manhattan | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1639244742
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- Pediatrics Physician
- Spring Valley, NY
- NPI 1699969543
-
- Long Term Care Pharmacy
- New York, NY
- NPI 1356434781
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
-
- Infectious Disease Physician
- Monroe, NY
- NPI 1972018208
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.