Gabriela Centurion, MD

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

205034 Issued in NY

Practice address

39 E 72ND St
New York, NY 10021-4124

Phone

(212) 737-7775

Fax

(212) 737-7705

NPI assigned

Jun 16, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 19, 2017 through Jun 19, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679778096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214124",
            "telephone_number": "212-737-7775",
            "fax_number": "212-737-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214124",
            "telephone_number": "212-737-7775",
            "fax_number": "212-737-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTURION",
        "first_name": "GABRIELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "205034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centurion Midtown Anesthesia PLLC
• Centurion Midtown Medical PLLC
• Centurion Pain Management
• Centurion Physical Therapy
• Centurion Physical Therapy and Associates PC
• Century Dental Association
• Century Gi Medical, PLLC
• Century Grand Inc
• Carmen Cepeda, LCSW
• Cindy Paola Cepeda

• Addiction Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Addiction Psychiatry Physician 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.