Active NPI
Alexander Gumbs, NP
- Psychiatric/Mental Health Nurse Practitioner
- Syosset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F402677
- Practice address
- 47 Stuart Dr
Syosset, NY 11791-5123 - Phone
- (718) 501-7859
- NPI assigned
- Jul 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F402677 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | F339743 | NY |
Addresses
Primary practice location
47 Stuart Dr
Syosset, NY 11791-5123
Mailing address
47 Stuart Dr
Syosset, NY 11791-5123
Phone (718) 501-7859
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York Downstate Medical Center, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000
175 Jericho Tpke
Suite 117
Syosset, NY 11791-4501
Phone (718) 501-7859
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F339743 | NY | MD | Family Nurse Practitioner |
| F402677 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Mind Over Matter NP in Psychiatry and Family Health P.C. | Current | Accepting new patients | |
| Bridge to Care Nurse Practitioner in Psychiatry PC | Current | Accepting new patients | |
| TBHC Physician Services PC | Current | Accepting new patients | |
| Peyman Younesi MD PLLC | Past | Accepting new patients |
Locations
3438 Bell Blvd
Ste 301
Bayside, NY 11361
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
6355 Broadway
Bronx, NY 10471
Phone (718) 549-3300
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
340 Trinity St
Malverne, NY 11565
Phone (347) 627-6100
300 Community Dr
Plandome, NY 11030
11502 Ocean Promenade
Rockaway Park, NY 11694
Phone (718) 627-8700
175 Jericho Tpke
Ste 117
Syosset, NY 11791
Phone (516) 496-9041
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- agumbs22373@prd.direct.tbh.org
- alexander.gumbs.1@24989.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Syosset, NY
- NPI 1588249114
-
- Surgery Physician
- Brooklyn, NY
- NPI 1417183963
-
- Family Medicine Physician
- Valley Cottage, NY
- NPI 1518637891
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Clinic/Center
- Brooklyn, NY
- NPI 1649884537
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1891053328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1750764007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 STUART DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915123",
"telephone_number": "718-501-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 STUART DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915123",
"telephone_number": "718-501-7859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMBS",
"first_name": "ALEXANDER",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-06",
"last_updated": "2021-04-05",
"certification_date": "2021-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F402677",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F339743",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.