Active NPI
Gerber De Leon, MD
- Internal Medicine Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 73604
- Practice address
- 267 Grant St
Bridgeport, CT 06610-2805 - Phone
- (203) 688-1734
- NPI assigned
- Apr 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 73604 | CT | Primary |
Addresses
Primary practice location
267 Grant St
Bridgeport, CT 06610-2805
Mailing address
20 York St RM Cb329
New Haven, CT 06510-3220
Phone (203) 688-1734
Other practice location 1
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-6604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230728001119 | NY | Practitioner - Internal Medicine | 8325409980 | Reassigns benefits to 1 organization |
| I20230816003141 | CT | Practitioner - Internal Medicine | 8325409980 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73604 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Cogent Medical Care PC | Internal Medicine | Current | Accepting new patients |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| Montefiore Nyack Hospital | Past | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
Interoperability endpoints
- gdeleon627731@direct.ynhh.org
- gdeleon17981@prd.direct.tbh.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
CT, Internal Medicine
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
Internal Medicine, NY
-
- Geriatric Medicine (Internal Medicine) Physician
- New Haven, CT
- NPI 1891019675
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cogent Medical Care PCNortheast Medical Group Inc
Practice addresses (Care Compare)
160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2000
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
Hospital & facility affiliations
- Constellation Home Care
- Bridgeport Hospital
- Nyack Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1609496348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST RM CB329",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-1734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 GRANT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102805",
"telephone_number": "203-688-1734"
}
],
"practiceLocations": [
{
"address_1": "121 Dekalb Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112015425",
"country_code": "US",
"telephone_number": "718-250-6604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LEON",
"first_name": "GERBER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-22",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "73604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.