Individual provider Active NPI

Lucy P Gade, MD

  • Obstetrics & Gynecology Physician
  • Roslyn, NY
National Provider Identifier
1700856325
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
237769 Issued in NY
Practice address
55 Bryant Ave Ste 6
Roslyn, NY 11576-1139
Phone
(516) 801-1313
Fax
(516) 801-1510
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 237769 NY Primary

Addresses

Primary practice location

55 Bryant Ave Ste 6
Roslyn, NY 11576-1139

Mailing address

900 Merchants Concourse
Ste 216
Westbury, NY 11590-5114
Phone (516) 226-8373

Other identifiers 1

IdentifierTypeStateIssuer
02690100MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051203000055 NY Practitioner - Obstetrics/Gynecology 4082634134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.62 of 100Reported as group
Quality
88.76
Promoting interoperability
100
Improvement activities
40
Cost
69.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Square Care Medical Group, LLP Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
Bimc Faculty Practice Obstetrics & Gynecology Past Accepting new patients
Bimc OB-GYN Associates Obstetrics & Gynecology Past Accepting new patients
North Shore Long Island Jewish Health Care Inc PastSince Nov 11, 2017 Accepting new patients

Locations

1615 Northern Blvd
Ste 102
Manhasset, NY 11030
Phone (516) 487-2745

191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144

55 Bryant Ave
Ste 6
Roslyn, NY 11576
Phone (516) 801-1313

900 Merchants Concourse
Ste 216
Westbury, NY 11590
Phone (516) 565-6322

40 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 496-3900

Interoperability endpoints

  • Direct secure messaging: lucy.gade.1@32375.direct.athenahealth.com
  • Direct secure messaging: lucy.gade.1@15987.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15987/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1700856325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MERCHANTS CONCOURSE",
            "address_2": "STE 216",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905114",
            "telephone_number": "516-226-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE STE 6",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761139",
            "telephone_number": "516-801-1313",
            "fax_number": "516-801-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADE",
        "first_name": "LUCY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "237769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02690100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.