NPIMap

Individual provider Active NPI

Alberto Gaitan, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1841357613
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210660 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453
Phone
(718) 299-7295
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210660 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000
Phone (718) 618-0401

Other practice location 1

460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300

Other practice location 2

460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070410000218 NY Practitioner - Internal Medicine 3678678273 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300

739 State Hwy 28
Suite 9
Oneonta, NY 13820-3590
Phone (607) 431-1015

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
210660NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Doc. P.C. Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Empire Wound Physician Services, PLLC CurrentSince Feb 28, 2016 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 5, 2018 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Dec 5, 2018 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Dec 5, 2018 Accepting new patients
Essen Medical Associates,PC CurrentSince Dec 5, 2018 Accepting new patients
Focus Medical Health PLLC Internal Medicine Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
The New York and Presbyterian Hospital Internal Medicine Past Accepting new patients

Locations

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

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

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

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

28 Kellogg Rd
Cortland, NY 13045
Phone (607) 753-6060

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

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

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

Interoperability endpoints

  • Direct secure messaging: agaitan6779@bassett.direct-ci.net

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1841357613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581000",
            "telephone_number": "718-618-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10453",
            "telephone_number": "718-299-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Andes Rd",
            "address_purpose": "LOCATION",
            "city": "Delhi",
            "state": "NY",
            "postal_code": "137537407",
            "country_code": "US",
            "telephone_number": "607-746-0300",
            "fax_number": "607-746-0327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Andes Rd",
            "address_purpose": "LOCATION",
            "city": "Delhi",
            "state": "NY",
            "postal_code": "137537407",
            "country_code": "US",
            "telephone_number": "607-746-0300",
            "fax_number": "607-746-0327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAITAN",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.