Active NPI
Amira Haany Gabra, PHYSICIAN ASSISTANT
- Physician Assistant
- Edgewater, NJ
National Provider Identifier
1497232847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00483400
- Practice address
- 725 River Rd
Edgewater, NJ 07020-1171 - Phone
- (201) 994-1155
- NPI assigned
- Jul 27, 2018
- Last updated
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00483400 | NJ | Primary |
Addresses
Primary practice location
725 River Rd
Edgewater, NJ 07020-1171
Mailing address
60 Oak St Apt 202
East Rutherford, NJ 07073-1256
Phone (917) 402-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023027 | NY | MD | Dental Hygienist |
| 25MP00483400 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Radiology Group of New Jersey, LLC | Past | Accepting new patients | |
| Premier Care Associates of West Hudson | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Lyndhurst, NJ
- NPI 1184971558
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
- Internal Medicine Physician
- Kearny, NJ
- NPI 1821048570
-
dba The Medical Group of New Jersey
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1497232847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 OAK ST APT 202",
"city": "EAST RUTHERFORD",
"state": "NJ",
"postal_code": "070731256",
"telephone_number": "917-402-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER RD",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201171",
"telephone_number": "201-994-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRA",
"first_name": "AMIRA",
"middle_name": "HAANY",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00483400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.