Individual provider Active NPI

Gabriella Sari Ciarlante, F.N.P.

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1861813222
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337726 Issued in NY
Practice address
2960 Victory Blvd.
Circle Urgent Care
Staten Island, NY 10314
Phone
(718) 370-2014
Fax
(718) 370-2436
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 337726 NY
Family Nurse Practitioner 363LF0000X 337726 NY Primary

Addresses

Primary practice location

2960 Victory Blvd.
Circle Urgent Care
Staten Island, NY 10314

Mailing address

2960 Victory Blvd.
Circle Urgent Care
Staten Island, NY 10314
Phone (718) 370-2014

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
I20210415001533 NY Practitioner - Nurse Practitioner 7416365200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians

Practice addresses (Care Compare)

2960 Victory Blvd
Staten Island, NY 10314-6605
Phone (718) 370-2014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
337726NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of Wantagh PLLC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients

Locations

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014

7001 Amboy Rd
Staten Island, NY 10307
Phone (347) 838-6991

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1861813222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 VICTORY BLVD.",
            "address_2": "CIRCLE URGENT CARE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-370-2014",
            "fax_number": "718-370-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 VICTORY BLVD.",
            "address_2": "CIRCLE URGENT CARE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-370-2014",
            "fax_number": "718-370-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIARLANTE",
        "first_name": "GABRIELLA",
        "middle_name": "SARI",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "337726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.