Active NPI
Gabrielle Ciraco
- Student in an Organized Health Care Education/Training Program
- Newark, NJ
National Provider Identifier
1285504597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 858631-01
- Practice address
- 394 University Ave
Newark, NJ 07102-1246 - Phone
- (973) 877-6111
- NPI assigned
- Nov 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 858631-01 | NY | Primary |
Addresses
Primary practice location
394 University Ave
Newark, NJ 07102-1246
Mailing address
96 Congress St FL 2
Harrison, NY 10528-2910
Phone (929) 536-5301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 858631-01 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1285504597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 CONGRESS ST FL 2",
"city": "HARRISON",
"state": "NY",
"postal_code": "105282910",
"telephone_number": "929-536-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 UNIVERSITY AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021246",
"telephone_number": "973-877-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIRACO",
"first_name": "GABRIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "858631-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
- Joseline Chummar, M.D.
- Jenn Chung, OTR/L
- Eric Tien Yen Chyn, M.D.
- Donald S. Ciccone, PHD
- Frank Ciminello, MD
- Citihealth RX Inc (CitiHealth Rx)
- City Hill CDC (Strive 4)
- City Medical of New Jersey, PC (CityMD Urgent Care)
- City of Newark (Newark Dept of Health and Community Wellness Dental Mobile Unit)
- City of Newark (Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #1)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.