Bracha Gemal, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00774200 Issued in NJ

Practice address

500 River Ave Ste 110
Lakewood, NJ 08701-4738

Phone

(732) 339-7360

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Saint Peter'S Specialty Physicians PCGroup PAC ID 8426373952, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bracha.niknam.2@8568.direct.athenahealth.com
• Direct secure messaging: bracha.niknam.1@8568.direct.athenahealth.com

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.

• Saint Peter'S Specialty Physicians, P.C.

  • Gastroenterology Physician
  • Lakewood, NJ
  • NPI 1861894982
  Medicare reassignment Care Compare group
• Daniel Korya MD LLC

  • Neurology Physician
  • Secaucus, NJ
  • NPI 1427512722
  Medicare reassignment
• Lakewood Immediate Care

  • Internal Medicine Physician
  • Lakewood, NJ
  • NPI 1548636301
  Medicare reassignment
• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment
• Saint Peter'S University Hospital

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1376079590
  NPD
• Radius Telemed, LLC

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1821618968
  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1841987252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ESTI CIR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014053",
            "telephone_number": "732-781-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RIVER AVE STE 110",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014738",
            "telephone_number": "732-339-7360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Esti Cir",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087014053",
            "country_code": "US",
            "telephone_number": "732-781-6805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEMAL",
        "first_name": "BRACHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00774200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chana Geldzahler, BCBA
• Moses Gelfand
• Isaac S Gelley, LCSW
• Rifky Gelman
• Gem Ambulance LLC
• Gemcare Medical Centers, LLC
• Gemtrans Solutions LLC
• Genoa Healthcare LLC
• Gincy Thomas George, DMD
• Rachel Gershenfeld

• Medical Physician Assistant in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.