Individual provider Active NPI

Gavin Martin Gassen, M.D.

  • Otolaryngology Physician
  • Poughkeepsie, NY
National Provider Identifier
1508836636
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
338537 Issued in NY
Practice address
21 Reade PL Ste 3200
Poughkeepsie, NY 12601-3944
Phone
(845) 471-4086
Fax
(845) 471-8296
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 338537 NY Primary

Addresses

Primary practice location

21 Reade PL Ste 3200
Poughkeepsie, NY 12601-3944

Mailing address

660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI, LA, OK, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120724000692 VI Practitioner - Otolaryngology 1557527215 Reassigns benefits to 2 organizations
I20180327002691 LA Practitioner - Otolaryngology 1557527215 Reassigns benefits to 1 organization
I20250522001728 OK Practitioner - Otolaryngology 1557527215 Reassigns benefits to 1 organization
I20251007002931 NY Practitioner - Otolaryngology 1557527215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tulane University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc. 262 clinicians
ENT and Allergy Associates LLP 431 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

1919 S Wheeling Ave
Tulsa, OK 74104-5634

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

21 Reade PL
Suite 3200
Poughkeepsie, NY 12601-3944
Phone (845) 471-4086

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21693LAMDPharmacist
338537NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jun 1, 2025 Accepting new patients
Plessen Medical Group, LLC CurrentSince Mar 1, 2022 Accepting new patients
St. John Physicians, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Feb 7, 2018 Accepting new patients
Plessen ENT Otolaryngology CurrentSince Aug 1, 2022 Accepting new patients
ENT and Allergy Associates LLP Otolaryngology CurrentSince Nov 1, 2025 Accepting new patients
Plessen Medical Group, LLC CurrentSince Mar 1, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Feb 7, 2018 Accepting new patients
Paradise Surgical, LLC Past Accepting new patients

Locations

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8659
New Orleans, LA 70112

21 Reade Pl
Ste 3200
Poughkeepsie, NY 12601
Phone (845) 204-6125

660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

4040 Estate La Grande Princesse
Ste 1
St Croix, VI 00820
Phone (340) 249-1088

Interoperability endpoints

  • Direct secure messaging: gavin.gassen@direct.entandallergy.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gavingassen@vient.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1508836636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD STE 400",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915107",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 READE PL STE 3200",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013944",
            "telephone_number": "845-471-4086",
            "fax_number": "845-471-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSEN",
        "first_name": "GAVIN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "338537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.