Carolyn Joy Gruber, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6462 Issued in NY

Practice address

NYU School of Medicine
550 First Avenue, NB 8-West-41
New York, NY 10016

Phone

(212) 562-3583

Fax

(212) 263-7806

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: carolyn.gruber.1@24989.direct.athenahealth.com
• Direct secure messaging: cgruber4065780@nychhc.direct-ci.com

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750409447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ALBEMARLE RD",
            "address_2": "6F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182355",
            "telephone_number": "347-350-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NYU SCHOOL OF MEDICINE",
            "address_2": "550 FIRST AVENUE, NB 8-WEST-41",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-562-3583",
            "fax_number": "212-263-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "CAROLYN",
        "middle_name": "JOY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "6462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Carmel Grube
• Ruben Gruber Anghel
• Alexander John Gruber, PA-C
• Alison Gruber, MD
• Arielle Gruber
• Deborah J Gruber, PHD, BCBA-D
• Fani Gruber, PA
• Jesse Daniel Gruber, MD
• Jessica Kim Gruber, LMFT
• Kailey Rebecca Gruber, OTR

• Physician Assistant in New York, NY
• Providers in New York, 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 Jul 8, 2007; 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.