Individual provider Active NPI

Cristiane Gasparetto, P.A.

  • Physician Assistant
  • Brentwood, NY
National Provider Identifier
1356711600
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
033164 Issued in NY
Practice address
160 4TH St
Brentwood, NY 11717-4658
Phone
(718) 745-1901
Fax
(718) 745-5731
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9108917 FL
Physician Assistant 363A00000X 033164 NY Primary

Addresses

Primary practice location

160 4TH St
Brentwood, NY 11717-4658

Mailing address

2790 NE 9TH CT
Pompano Beach, FL 33062-4209
Phone (954) 873-2259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160201000565 FL Practitioner - Physician Assistant 7810291523 Reassigns benefits to 1 organization
I20251201000697 NY Practitioner - Physician Assistant 7810291523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians

Practice addresses (Care Compare)

1612 Central Ave
Suite 201
Far Rockaway, NY 11691-4002
Phone (516) 792-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
033164NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9108917FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Medical Associates PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

160 4th St
Brentwood, NY 11717
Phone (516) 369-3760

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

1612 Central Ave
Far Rockaway, NY 11691
Phone (718) 223-5820

Organizations & group practices 2

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1356711600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 NE 9TH CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624209",
            "telephone_number": "954-873-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 4TH ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174658",
            "telephone_number": "718-745-1901",
            "fax_number": "718-745-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARETTO",
        "first_name": "CRISTIANE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9108917",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

Verify at the official NPI Registry.