NPIMap

Individual provider Active NPI

Gabriella Eliza Garcia

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1467958066
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD477236 Issued in PA
Practice address
5401 Old York Rd Ste 404
Philadelphia, PA 19141-3046
Phone
(215) 456-7190
Fax
(215) 456-7308
NPI assigned
Apr 3, 2018
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD477236 PA Primary

Addresses

Primary practice location

5401 Old York Rd Ste 404
Philadelphia, PA 19141-3046

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-7000

Other practice location 1

22 S Greene St Rm N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717002075 PA Practitioner - Neurology 1557607892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103

7600 Central Ave
Philadelphia, PA 19111-2442
Phone (215) 707-5864

8811 Germantown Ave
Philadelphia, PA 19118-2718
Phone (215) 707-2098

8835 Germantown Ave
Phila, PA 19118-2718
Phone (215) 707-2098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD477236PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan, Inc. Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Apr 1, 2025 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Apr 1, 2025 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2024 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Einstein Practice Plan, Inc. Neurology CurrentSince Jul 1, 2024 Accepting new patients
Albert Einstein Medical Center Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients

Locations

5401 Old York Rd
#A
Phila, PA 19141

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

5401 Old York Rd
Ste 400
Philadelphia, PA 19141
Phone (215) 324-3399

5401 Old York Rd
Ste 404
Philadelphia, PA 19141
Phone (215) 456-7266

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

Organizations & group practices 9

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1467958066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-7000",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD STE 404",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413046",
            "telephone_number": "215-456-7190",
            "fax_number": "215-456-7308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St Rm N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GABRIELLA",
        "middle_name": "ELIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD477236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.