Individual provider Active NPI

Gabrielle Truncali

  • Occupational Therapist
  • East Stroudsburg, PA
National Provider Identifier
1922655968
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC016531 Issued in PA
Practice address
2493 Milford Rd
East Stroudsburg, PA 18301-9720
Phone
(570) 424-1706
Fax
(570) 424-6711
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC016531 PA Primary

Addresses

Primary practice location

2493 Milford Rd
East Stroudsburg, PA 18301-9720

Mailing address

206 East Brown St
Shawnee Office
East Stroudsbug, PA 18301
Phone (570) 426-2733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200306001500 PA Practitioner - Occupational Therapist in Private Practice 0042648958 Reassigns benefits to 1 organization
I20230323002518 NY Practitioner - Occupational Therapist in Private Practice 0042648958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

9616 Metropolitan Ave
Forest Hills, NY 11375-6625
Phone (718) 424-9531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023729NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 10, 2023 Accepting new patients
Lehigh Valley Hospital CurrentSince Jan 14, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Apr 10, 2023 Accepting new patients
Lehigh Valley Hospital CurrentSince Jan 14, 2020 Accepting new patients
Health Poconos, Inc PastSince Aug 25, 2019 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

9614 Metropolitan Ave
Ste 1550
Forest Hills, NY 11375
Phone (781) 424-9531

2901 Emrick Blvd
Ste 103
Bethlehem, PA 18020
Phone (610) 625-2169

2493 Milford Rd
East Stroudsburg, PA 18301
Phone (570) 424-1706

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

Networks

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

Organizations & group practices 5

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1922655968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EAST BROWN ST",
            "address_2": "SHAWNEE OFFICE",
            "city": "EAST STROUDSBUG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-426-2733",
            "fax_number": "570-426-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2493 MILFORD RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019720",
            "telephone_number": "570-424-1706",
            "fax_number": "570-424-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNCALI",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.