Individual provider Active NPI

Ralph Alberico Gargiulo, P.A.

  • Medical Physician Assistant
  • Hopewell Junction, NY
National Provider Identifier
1841291275
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000947 Issued in NY
Practice address
45 Foster Road
Hopewell Junction, NY 12533
Phone
(845) 226-4590
Fax
(845) 226-2465
NPI assigned
Aug 9, 2005
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 000947 NY Primary

Addresses

Primary practice location

45 Foster Road
Hopewell Junction, NY 12533

Mailing address

45 Foster Rd
Hopewell Junction, NY 12533-6123
Phone (845) 226-4590

Other identifiers 1

IdentifierTypeStateIssuer
01819878MedicaidNY

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
I20110303000488 NY Practitioner - Physician Assistant 5092997643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

159 Barnegat Rd
FL 2
Poughkeepsie, NY 12601-5401
Phone (845) 226-4590

243 N Rd
Poughkeepsie, NY 12601-1173

45 Foster Rd
Hopewell JCT, NY 12533-6123
Phone (845) 226-4590

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Jun 9, 2024 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Jun 9, 2024 Accepting new patients
Hudson Valley Emergency Medicine PLLC Past Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

45 Foster Rd
Hopewell Junction, NY 12533
Phone (845) 592-4036

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

Networks

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

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1841291275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FOSTER RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336123",
            "telephone_number": "845-226-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOSTER ROAD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-226-4590",
            "fax_number": "845-226-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGIULO",
        "first_name": "RALPH",
        "middle_name": "ALBERICO",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "000947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01819878",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

Verify at the official NPI Registry.