Active NPI
Nurse Practitioner in Adult Gerontology Family and Pallative
- Nursing Care Agency
- New City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE
- Practice address
- 169 S Main Street
Suite 352
New City, NY 10956 - Phone
- (844) 482-8677
- Fax
- (718) 763-1203
- NPI assigned
- Jul 2, 2021
- Last updated
- Jul 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josephine Gabriel, N.P.
- Title
- Secretary
- Phone
- (917) 915-2866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | NU | Primary |
Addresses
Primary practice location
169 S Main Street
Suite 352
New City, NY 10956
Mailing address
169 S Main Street
Suite 352
New City, NY 10956
Phone (844) 482-8677
National Provider Directory
National Provider Directory- Tax ID family
- Nurse Practitioner in Adult Gerontology Family and Pallative
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Health Nurse Practitioner
- Bronx, NY
- NPI 1376124297
Locations
169 S Main St
Ste 352
New City, NY 10956
Phone (844) 482-8677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1356367569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625184000000",
"number": "1720659634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 S MAIN STREET",
"address_2": "SUITE 352",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "844-482-8677",
"fax_number": "718-763-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 S MAIN STREET",
"address_2": "SUITE 352",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "844-482-8677",
"fax_number": "718-763-1203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-02",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "JOSEPHINE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "917-915-2866",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.