Active NPI
Gabrielle Page Wilson, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
National Provider Identifier
1790820744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 249207
- Practice address
- Atria
36 E 57TH Street 5TH FL
New York, NY 10022 - Phone
- (212) 600-2000
- Fax
- (212) 540-0855
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 249207 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 224846 | MA |
Addresses
Primary practice location
Atria
36 E 57TH Street 5TH FL
New York, NY 10022
Mailing address
630 W 168TH St
PH 8 West, Room 864
New York, NY 10032-3725
Phone (212) 305-3725
Other names 1
- Dr. Gabrielle Page-Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224846 | MA | MD | Internal Medicine Physician |
| 249207 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atria Physician Practice New York, PC | Internal Medicine | Current | Accepting new patients |
Locations
36 E 57th St
Fl 5
New York, NY 10022
Phone (212) 600-2000
Interoperability endpoints
- gabrielle.page-wilson.1@24265.direct.athenahealth.com
- https://api.platform.athenahealth.com/24265/brand/1/csg/1/fhir/r4
- gap9016@direct.nyp.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1194487520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1790820744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W 168TH ST",
"address_2": "PH 8 WEST, ROOM 864",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725",
"telephone_number": "212-305-3725",
"fax_number": "212-305-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ATRIA",
"address_2": "36 E 57TH STREET 5TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-600-2000",
"fax_number": "212-540-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GABRIELLE",
"middle_name": "PAGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "249207",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "224846",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELLE",
"last_name": "PAGE-WILSON",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.