Alexander Y Gimelberg, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

759 Issued in MA

Practice address

289 Pleasant St
Prima Care, PC
Fall River, MA 02721-3005

Phone

(508) 646-7645

Fax

(508) 646-7641

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Prima Care, PC

  • Clinic/Center
  • Fall River, MA
  • NPI 1265422596
  Medicare reassignment NPD
• Maragal Medical PC

  • General Practice Physician
  • Leominster, MA
  • NPI 1427559962
  Medicare reassignment
• Prima Care, PC

  • Orthopaedic Surgery Physician
  • Fall River, MA
  • NPI 1194587287
  NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1396811071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1070",
            "address_2": "PRIMA CARE, PC",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211070",
            "telephone_number": "508-676-3292",
            "fax_number": "508-672-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "PRIMA CARE, PC",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-646-7645",
            "fax_number": "508-646-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMELBERG",
        "first_name": "ALEXANDER",
        "middle_name": "Y",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Mary Gillett, N.P.
• P R Gilliam, R.N.
• Jennifer Gillis, N.P.
• Desiree Gillpatrick, LICSW
• Mitchell Earl Gilmore
• Charlene M Ginalski Lambert, LICSW
• Douaa M Girgis, DMD
• Avram Gleitsman
• Angela E Glisson, MSW
• Global Care Transportation, Inc

• Physician Assistant in Fall River, MA
• Providers in Fall River, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.