Individual provider Active NPI

Alex Gabriel

  • Medical Physician Assistant
  • Rosedale, NY
National Provider Identifier
1376895383
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
015926 Issued in NY
Practice address
24108 140TH Ave
Rosedale, NY 11422-2022
Phone
(718) 949-0146
NPI assigned
Oct 15, 2012
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 015926 NY Primary

Addresses

Primary practice location

24108 140TH Ave
Rosedale, NY 11422-2022

Mailing address

24108 140TH Ave
Rosedale, NY 11422-2022
Phone (718) 949-0146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20130927000342 NY Practitioner - Physician Assistant 1557595857 Reassigns benefits to 8 organizations
I20140725000196 CT Practitioner - Physician Assistant 1557595857 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quentin Medical Group LLCGroup PAC ID 4981833647, 13 clinicians
QMG2, LLCGroup PAC ID 0345541512, 13 clinicians
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians
QMG3 LLCGroup PAC ID 8628353117, 18 clinicians
QMG4 LLCGroup PAC ID 4284912957, 15 clinicians
QMG5,LLCGroup PAC ID 2062820913, 17 clinicians

Practice addresses (Care Compare)

161 Boston Ave
Bridgeport, CT 06610-1662
Phone (203) 333-4400

1918 Black Rock Tpke
Fairfield, CT 06825-3543
Phone (203) 583-8400

203 Gramatan Ave
Suite a
Mount Vernon, NY 10550-1291
Phone (914) 202-4830

389 Bridgeport Ave
Shelton, CT 06484-5303
Phone (203) 567-4171

4200 Main St
Bridgeport, CT 06606-2303
Phone (203) 916-5151

57 Monroe Tpke
Trumbull, CT 06611-1315
Phone (203) 675-1345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015926NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince May 1, 2015 Accepting new patients
Excel Urgent Care of Astoria PLLC Current Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jun 1, 2019 Accepting new patients
Montefiore Medical Center CurrentSince May 1, 2015 Accepting new patients
Ctuc01 CurrentSince Jun 1, 2019 Accepting new patients
Kinglet Urgent Care Physicians LLC Past Accepting new patients
Montefiore Medical Center Past Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Bluebird Emergency Physicians, LLC Past Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

111 E 210th St
Bronx, NY 10467

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

Interoperability endpoints

  • Direct secure messaging: alex.gabriel@ghuc.eclinicaldirectplus.com

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1376895383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24108 140TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222022",
            "telephone_number": "718-949-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24108 140TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222022",
            "telephone_number": "718-949-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

Verify at the official NPI Registry.