Individual provider Active NPI

Gabriella Alexa Ursick, PA-C

  • Surgical Physician Assistant
  • Florham Park, NJ
National Provider Identifier
1912428426
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
83 Hanover Rd Ste 260
Florham Park, NJ 07932-1520
Phone
(732) 426-3420
NPI assigned
Jul 6, 2017
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

83 Hanover Rd Ste 260
Florham Park, NJ 07932-1520

Mailing address

200 Schulz Dr Ste 2
Red Bank, NJ 07701-6745
Phone (732) 426-3420

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170828000097 NJ Practitioner - Physician Assistant 1355613274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proassist Surgical Services, LLCGroup PAC ID 4486181070, 14 clinicians

Practice addresses (Care Compare)

East Hanover, NJ 07936
Phone (973) 703-9580

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gianna Scaglione PA-C LLC Surgical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: garce191592@ahs.direct-ci.com

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 1

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1912428426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHULZ DR STE 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016745",
            "telephone_number": "732-426-3420",
            "fax_number": "732-747-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 260",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "732-426-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSICK",
        "first_name": "GABRIELLA",
        "middle_name": "ALEXA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.