Individual provider Active NPI

Maria Gabriela Nunez, P.A.

  • Medical Physician Assistant
  • Elmhurst, NY
National Provider Identifier
1801133541
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
016151-1 Issued in NY
Practice address
4032 Forley St
Elmhurst, NY 11373-1427
Phone
(718) 779-1479
Fax
(718) 779-9246
NPI assigned
Jan 15, 2013
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 016151-1 NY Primary

Addresses

Primary practice location

4032 Forley St
Elmhurst, NY 11373-1427

Mailing address

144 Albermarle Ave
Valley Stream, NY 11580-2719
Phone (347) 204-0812

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
I20140418000103 NY Practitioner - Physician Assistant 9830321249 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

10460 Queens Blvd
Suite 1C
Forest Hills, NY 11375-7301
Phone (718) 275-5555

148 Merrick Rd
Amityville, NY 11701-3439
Phone (631) 789-2556

4 Technology Dr
Suite 180
East Setauket, NY 11733-4068
Phone (631) 689-3188

510 Montauk Hwy
West Islip, NY 11795-4422
Phone (631) 587-1132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016151NYMDPhysical Therapist
016151-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian/Queens CurrentSince Mar 11, 2019 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Mar 11, 2019 Accepting new patients
Bodian Medical Services of Forest Hills PC Past Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients
Anthony Buglino DO PLLC Past Accepting new patients

Locations

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

Networks

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

Interoperability endpoints

  • Direct secure messaging: mnunez@advderm.emadirect.md

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1801133541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 ALBERMARLE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802719",
            "telephone_number": "347-204-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 FORLEY ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731427",
            "telephone_number": "718-779-1479",
            "fax_number": "718-779-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "MARIA",
        "middle_name": "GABRIELA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016151-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.