Brian Gruber, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

007449-1 Issued in NY

Practice address

200 White Plains Rd Ste 110
Tarrytown, NY 10591-5805

Phone

(914) 848-4343

Fax

(914) 306-7006

NPI assigned

Feb 16, 2007

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.gruber@direct.hvhc.org

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.

• Statline Access LLC

  • Medical Physician Assistant
  • Cortlandt Manor, NY
  • NPI 1598222135
  NPD Authorized official
• David Daniel MD PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1760884019
  Medicare reassignment
• Optum Medical Care, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003
  Medicare reassignment
• Statline Medical PC

  • Internal Medicine Physician
  • Cortlandt Manor, NY
  • NPI 1942872759
  Medicare reassignment
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1780728626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SONOMA RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105675129",
            "telephone_number": "914-215-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE PLAINS RD STE 110",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915805",
            "telephone_number": "914-848-4343",
            "fax_number": "914-306-7006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Sonoma Rd",
            "address_purpose": "LOCATION",
            "city": "Cortlandt Manor",
            "state": "NY",
            "postal_code": "105675129",
            "country_code": "US",
            "telephone_number": "914-215-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "BRIAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007449-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Lamont Grant, LMSW
• Liana Greer, MD
• Gerald B Greitzer, DDS
• Toni Grimaldi, LMHC
• Growth Wellness Services LCSW, PLLC
• Ana Guerra, MD
• Eman Guirguis
• Kelly Elaine Gumpel, RD, CDN, CDE
• Lauren Gunther
• Catherine Marie Hadeshian, M.A., CCC-A, F-AAA

• Physician Assistant in Tarrytown, NY
• Providers in Tarrytown, 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 Nov 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.