Gabriela Canal, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

009956-1 Issued in NY

Practice address

101 Union Ave
Suite 608
Syracuse, NY 13203-2761

Phone

(315) 422-1742

Fax

(315) 425-0854

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gcanal2387236@direct.trinity-health.org

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.

• St Josephs Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1942501747
  Medicare reassignment
• North Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1972563070
  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639250962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 UNION AVE",
            "address_2": "SUITE 608",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032761",
            "telephone_number": "315-422-1742",
            "fax_number": "315-425-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UNION AVE",
            "address_2": "SUITE 608",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032761",
            "telephone_number": "315-422-1742",
            "fax_number": "315-425-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAL",
        "first_name": "GABRIELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009956-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Fordham Campbell, NP
• Jennifer Campoli, DO
• Jessica Campoverde
• Robert Paul Camuglia, DDS
• Aliz'E Canada
• Ann Cathryn Canastra, MS, NCC
• Martin Canavan, PT
• Michelle L Canavan, LMSW
• Timothy Patrick Canavan, MD
• Nicole Candiotti

• Physician Assistant in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.