Individual provider Active NPI

Gevi Dominique Brillantes, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1326533696
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308639 Issued in NY
Practice address
234 E 85TH St
New York, NY 10028-3001
Phone
(212) 241-6585
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308639 NY Primary

Addresses

Primary practice location

234 E 85TH St
New York, NY 10028-3001

Mailing address

1 Gustave L Levy PL # 1118
New York, NY 10029-6504

Other practice location 1

2613 21st St
Astoria, NY 11102-3544
Phone (718) 626-4800 ext. 6835

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
I20180905003485 NY Practitioner - Nurse Practitioner 2769732163 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

234 E 85TH St
New York, NY 10028-3001
Phone (212) 241-6585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2024 Accepting new patients
Long Island Internal Medicine PLLC CurrentSince Jul 15, 2021 Accepting new patients
464 Bay Ridge Medical PLLC CurrentSince Jul 11, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2024 Accepting new patients
New York Rehabilitation Care Management , LLC CurrentSince Jul 11, 2018 Accepting new patients

Locations

2613 21st St
Astoria, NY 11102
Phone (516) 724-5941

464 Bay Ridge Ave
Ste B
Brooklyn, NY 11220
Phone (347) 801-2542

6135 Dry Harbor Rd
Middle Vlg, NY 11379
Phone (718) 505-7500

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

Networks

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

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1326533696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL # 1118",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283001",
            "telephone_number": "212-241-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2613 21st St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111023544",
            "country_code": "US",
            "telephone_number": "718-626-4800 x6835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRILLANTES",
        "first_name": "GEVI DOMINIQUE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.