Individual provider Active NPI

Emmanuel Amilcar Gachette, MD

  • Family Medicine Physician
  • Paterson, NJ
National Provider Identifier
1306874979
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
237620-1 Issued in NY
Practice address
473 Main St
Paterson, NJ 07501-2862
Phone
(973) 707-8243
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 237620-1 NY Primary

Addresses

Primary practice location

473 Main St
Paterson, NJ 07501-2862

Mailing address

473 Main St
Paterson, NJ 07501-2862
Phone (973) 707-8243

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000484 NY Practitioner - Family Practice 7214942093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Casa de Salud IncGroup PAC ID 6103913835, 23 clinicians

Practice addresses (Care Compare)

262 E 174TH St
Bronx, NY 10457-7152
Phone (718) 734-2539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237620-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Casa de Salud Inc. CurrentSince Nov 3, 2020 Accepting new patients
La Casa de Salud, Inc CurrentSince Nov 3, 2020 Accepting new patients
Puerto Rican Organization to Motivate Enlighten and Serve Addicts, Inc Past Accepting new patients

Locations

262 E 174th St
#48
Bronx, NY 10457

915 Westchester Ave
Bronx, NY 10459
Phone (646) 224-9300

262 E 174th St
Bronx, NY 10457
Phone (718) 299-6910

966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1306874979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012862",
            "telephone_number": "973-707-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012862",
            "telephone_number": "973-707-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACHETTE",
        "first_name": "EMMANUEL",
        "middle_name": "AMILCAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237620-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.