Amber Rae Gebhardt, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013604-1 Issued in NY

Practice address

111 Maltese Dr
Middletown, NY 10940-2115

Phone

(845) 342-4774

NPI assigned

Aug 14, 2007

Last updated

Nov 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amber.gebhardt@direct.hvhc.org

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.

• Fishkill Pharmacy LLC

  dba The Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Fishkill, NY
  • NPI 1427308188
  NPD (past)
• Horizon Medical Group, P.C.

  dba Horizon Family Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Yorktown Heights, NY
  • NPI 1386520021
  NPD (past)
• St Michael Infectious Disease Associates

  • Infectious Disease Physician
  • Newark, NJ
  • NPI 1811942766
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259280000000",
    "number": "1649462664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MALTESE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402115",
            "telephone_number": "845-342-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MALTESE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402115",
            "telephone_number": "845-342-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDT",
        "first_name": "AMBER",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2009-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00184400",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013604-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garnet Health Medical Center
• Garnet Health Urgent Care PC
• Gabriel Garofalo
• Joann Gaudio-Hughes
• Andrea Gbotoe-Talbott
• Geejo Geevarghese, MD
• Leslie Geiselhart
• Gen Med Inc
• Dorca Angelina Genao-Baez, LMSW
• Rosa Genao-Delgado

• Physician Assistant in Middletown, NY
• Providers in Middletown, 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 Nov 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.