Active NPI
Gabriella Clare, FNP-BC
- Family Nurse Practitioner
- Derby, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F355206-01
- Practice address
- 6763 Erie Rd
Derby, NY 14047-9670 - Phone
- (716) 947-2222
- Fax
- (716) 947-2223
- NPI assigned
- Feb 20, 2025
- Last updated
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F355206-01 | NY | Primary |
Addresses
Primary practice location
6763 Erie Rd
Derby, NY 14047-9670
Mailing address
6763 Erie Rd
Derby, NY 14047-9670
Phone (716) 947-2222
Other practice location 1
1707 Abbott Rd
Lackawanna, NY 14218-2940
Phone (716) 599-1444
Other practice location 2
402 Main St
Dunkirk, NY 14048-2721
Phone (716) 366-6111
Other practice location 3
194 Central Ave
Silver Creek, NY 14136-1338
Phone (716) 934-3333
Other practice location 4
2310 William St
Cheektowaga, NY 14206-2527
Phone (716) 222-3333
Other practice location 5
4470 Bay View Rd
Hamburg, NY 14075-1335
Phone (716) 646-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F355206-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Mulawka DO PC | Past | Accepting new patients | |
| John Mulawka DO, PC | Past | Accepting new patients |
Interoperability endpoints
- gclare@dsdpediatrics.medentdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Derby, NY
- NPI 1831440932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1447056569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6763 ERIE RD",
"city": "DERBY",
"state": "NY",
"postal_code": "140479670",
"telephone_number": "716-947-2222",
"fax_number": "716-947-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6763 ERIE RD",
"city": "DERBY",
"state": "NY",
"postal_code": "140479670",
"telephone_number": "716-947-2222",
"fax_number": "716-947-2223"
}
],
"practiceLocations": [
{
"address_1": "1707 Abbott Rd",
"address_purpose": "LOCATION",
"city": "Lackawanna",
"state": "NY",
"postal_code": "142182940",
"country_code": "US",
"telephone_number": "716-599-1444",
"fax_number": "716-599-1448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "402 Main St",
"address_purpose": "LOCATION",
"city": "Dunkirk",
"state": "NY",
"postal_code": "140482721",
"country_code": "US",
"telephone_number": "716-366-6111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "194 Central Ave",
"address_purpose": "LOCATION",
"city": "Silver Creek",
"state": "NY",
"postal_code": "141361338",
"country_code": "US",
"telephone_number": "716-934-3333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2310 William St",
"address_purpose": "LOCATION",
"city": "Cheektowaga",
"state": "NY",
"postal_code": "142062527",
"country_code": "US",
"telephone_number": "716-222-3333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4470 Bay View Rd",
"address_purpose": "LOCATION",
"city": "Hamburg",
"state": "NY",
"postal_code": "140751335",
"country_code": "US",
"telephone_number": "716-646-4646",
"fax_number": "716-926-9290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARE",
"first_name": "GABRIELLA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F355206-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.