Organization Active NPI

Gabriel M Ferreira MD PC

  • Glaucoma Specialist (Ophthalmology) Physician
  • New York, NY
National Provider Identifier
1679107932
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
Legal business name
GABRIEL M FERREIRA MD PC
Practice address
4966 Broadway Ste 1&2
New York, NY 10034-2318
Phone
(212) 897-1923
Fax
(212) 897-1924
NPI assigned
Feb 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Michele VarlottaNPI 1053735027
Title
Office Manager
Phone
(813) 323-6361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0009X Primary

Addresses

Primary practice location

4966 Broadway Ste 1&2
New York, NY 10034-2318

Mailing address

4966 Broadway Ste 1&2
New York, NY 10034-2318
Phone (212) 304-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201016000188 NY Part B Supplier - Clinic/Group Practice 7012337801 Receives reassigned benefits from 2 practitioners
Practice locations: New Rochelle, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

120 Warren St
New Rochelle, NY 10801
Phone (914) 633-7214

145 Huguenot St
Ste 312
New Rochelle, NY 10801

4966 Broadway
Ste 12
New York, NY 10034
Phone (212) 304-2020

4966 Broadway
New York, NY 10034
Phone (212) 304-2020

Interoperability endpoints

  • Direct secure messaging: aherzlich@gabfer.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1679107932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 BROADWAY STE 1&2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342318",
            "telephone_number": "212-304-2020",
            "fax_number": "212-304-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 BROADWAY STE 1&2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342318",
            "telephone_number": "212-897-1923",
            "fax_number": "212-897-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL M FERREIRA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2024-06-17",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "VARLOTTA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-323-6361"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.