Individual provider Active NPI

Gisela Lisa Vasquez, FNP

  • Family Nurse Practitioner
  • Jackson Heights, NY
National Provider Identifier
1821601006
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346525 Issued in NY
Practice address
7916 37TH Ave FL 1
Jackson Heights, NY 11372-6748
Phone
(718) 406-9111
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346525 NY Primary

Addresses

Primary practice location

7916 37TH Ave FL 1
Jackson Heights, NY 11372-6748

Mailing address

7916 37TH Ave
Jackson Heights, NY 11372-6748
Phone (718) 406-9111

Other practice location 1

17 W Fordham Rd
Bronx, NY 10468-5304
Phone (929) 560-8005

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
I20210122000087 NY Practitioner - Nurse Practitioner 0749694362 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Medical of Queens PC CurrentSince Mar 13, 2022 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 1, 2020 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Dec 1, 2020 Accepting new patients
Gastrointestinal Care of Long Island PLLC PastSince Mar 13, 2022 Accepting new patients

Locations

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

7916 37th Ave
Fl 1
Jackson Heights, NY 11372
Phone (718) 406-9111

7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013

Interoperability endpoints

  • Direct secure messaging: gisela.vasquez.1@24989.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1821601006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726748",
            "telephone_number": "718-406-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 37TH AVE FL 1",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726748",
            "telephone_number": "718-406-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 W Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104685304",
            "country_code": "US",
            "telephone_number": "929-560-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "GISELA",
        "middle_name": "LISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2022-03-11",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.