Active NPI
Elizabeth F Gruber, PA
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 016191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00747200 | NJ | MD | Physician Assistant |
Practice roles
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
- 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.
-
- Rehabilitation Practitioner
- New York, NY
- NPI 1477899078
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Emergency Medicine Physician
- New York, NY
- NPI 1679083984
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1912988395
-
- Emergency Medicine Physician
- Smithtown, NY
- NPI 1356507099
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Emergency Medicine Physician
- Wheat Ridge, CO
- NPI 1326097668
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1457755688
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.