Individual provider Active NPI

Elizabeth F Gruber, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1831449115
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016191 Issued in NY
Practice address
3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone
(718) 252-3000
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 25MP00747200 NJ
Physician Assistant 363A00000X 016191 NY Primary

Addresses

Primary practice location

3201 Kings Hwy
Brooklyn, NY 11234-2625

Mailing address

30 Princeton Ave
Staten Island, NY 10306-2814
Phone (917) 495-9124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130405000423 NY Practitioner - Physician Assistant 0547405987 Reassigns benefits to 8 organizations
I20171002002377 CO Practitioner - Physician Assistant 0547405987 Reassigns benefits to 6 organizations
I20221123002402 NJ Practitioner - Physician Assistant 0547405987 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00747200NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado Inc CurrentSince Jul 1, 2018 Accepting new patients
Usacs Observation Medicine Services of Colorado, Inc. CurrentSince Sep 2, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 29, 2019 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Oct 11, 2025 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Sep 2, 2020 Accepting new patients
Premier Emergency Services, Inc CurrentSince Mar 1, 2020 Accepting new patients
Fpa Hospital Based CurrentSince Mar 6, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 29, 2019 Accepting new patients
Usacs of Colorado Inc CurrentSince Jul 1, 2018 Accepting new patients
Emergency Service Physicians, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Emergency Service Physicians, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 16, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 16, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

1440 Madison Ave
New York, NY 10029
Phone (212) 241-5561

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1468 Madison Ave
#3220
New York, NY 10029

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

Networks

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

Interoperability endpoints

  • Direct secure messaging: egruber145525@nychhc.direct-ci.com

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1831449115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PRINCETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062814",
            "telephone_number": "917-495-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342625",
            "telephone_number": "718-252-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "ELIZABETH",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00747200",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.