Individual provider Active NPI

Kagren Gayle

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1336550540
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3386411 Issued in NY
Practice address
1825 Eastchester Rd
Bronx, NY 10461-2301
Phone
(718) 904-2514
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F3386411 NY Primary

Addresses

Primary practice location

1825 Eastchester Rd
Bronx, NY 10461-2301

Mailing address

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-3333

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
I20150416000729 NY Practitioner - Nurse Practitioner 7113245457 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F3386411NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. CurrentSince Jun 11, 2018 Accepting new patients
NP Family Health Visits & NP Adult Health Visits, PLLC Family CurrentSince Oct 6, 2018 Accepting new patients
Advantagecare Physicians PC CurrentSince Mar 1, 2022 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Jan 13, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Mar 1, 2022 Accepting new patients
Shlomit Levy Past Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1336550540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-904-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612301",
            "telephone_number": "718-904-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "KAGREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3386411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.