Individual provider Active NPI

Michal Gerblich, FNP-C

  • Family Nurse Practitioner
  • Harrison, NY
National Provider Identifier
1770012429
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345883 Issued in NY
Practice address
600 Mamaroneck Ave
Harrison, NY 10528-1635
Phone
(914) 723-8100
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 020435 OH
Family Nurse Practitioner 363LF0000X F345883 NY Primary

Addresses

Primary practice location

600 Mamaroneck Ave
Harrison, NY 10528-1635

Mailing address

31 Greenridge Ave Apt 1P
White Plains, NY 10605-1214
Phone (914) 723-8100

Other names 1

  • Ms. Michal Moskowitz Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208000873 NY Practitioner - Nurse Practitioner 2365441367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

600 Mamaroneck Ave
Harrison, NY 10528-1635
Phone (914) 723-8100

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
020435OHMDAdult Health Nurse Practitioner
F345883NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
White Plains Physician Services PC CurrentSince Feb 1, 2021 Accepting new patients
Scarsdale Medical Group LLP Past Accepting new patients

Locations

600 Mamaroneck Ave
Ste 301
Harrison, NY 10528
Phone 9147238100116

600 Mamaroneck Ave
Harrison, NY 10528
Phone (914) 628-6966

550 Mamaroneck Ave
Ste 302
Harrison, NY 10528
Phone 9147238100 ext. 239

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

259 Heathcote Rd
Scarsdale, NY 10583
Phone 9147238100106

Networks

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

Interoperability endpoints

  • Direct secure messaging: mgerblich484169@direct.ccf.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1770012429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GREENRIDGE AVE APT 1P",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051214",
            "telephone_number": "914-723-8100",
            "fax_number": "914-989-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281635",
            "telephone_number": "914-723-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBLICH",
        "first_name": "MICHAL",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "020435",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAL",
            "last_name": "MOSKOWITZ",
            "prefix": "MS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.