Individual provider Active NPI

Gilbert T. Brovar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
National Provider Identifier
1952419616
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
159782 Issued in NY
Practice address
15818 Riverside Dr W Apt 6K
New York, NY 10032-1064
Phone
(508) 259-6078
NPI assigned
Aug 25, 2006
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 59935 MA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 180459 AK
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 59935 MA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 159782 NY Primary

Addresses

Primary practice location

15818 Riverside Dr W Apt 6K
New York, NY 10032-1064

Mailing address

15818 Riverside Dr W Apt 6K
New York, NY 10032-1064
Phone (508) 259-6078

Other practice location 1

4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6205

Other practice location 2

1797 Pitkin Ave
Brooklyn, NY 11212-7839
Phone (718) 971-1944

Other practice location 3

1000 10th Ave
New York, NY 10019-1147
Phone (212) 523-4000

Other practice location 4

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 523-4000

Other practice location 5

36 W 60th St
New York, NY 10023-7903
Phone (212) 523-8672

Other identifiers 6

IdentifierTypeStateIssuer
AA78216OtherMAHARVARD PILGRIM
0025387OtherMANEIGHBORHOOD HEALTH PLAN
059935OtherMATUFTS HEALTH PLAN
3036014MedicaidMA
3944OtherMAFALLON COMMUNITY HEALTH
J07576OtherMABLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL brovarg@gmail.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000871 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 0840238655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

19 Bradhurst Ave
Hawthorne, NY 10532-2140

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180459AKMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Remote Telehealth Services Texas, PLLC Single Specialty CurrentSince Jan 14, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Quarry Road Emergency Services P.C. Single Specialty Past Accepting new patients
Doral Pharmacy LLC PastSince May 1, 2022 Accepting new patients
Morton Physician Associates Inc Single Specialty Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

36 W 60th St
New York, NY 10023
Phone (212) 265-2828

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

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

Organizations & group practices 8

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1952419616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15818 RIVERSIDE DR W APT 6K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321064",
            "telephone_number": "508-259-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15818 RIVERSIDE DR W APT 6K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321064",
            "telephone_number": "508-259-6078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104572545",
            "country_code": "US",
            "telephone_number": "718-960-6205",
            "fax_number": "718-960-3218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1797 Pitkin Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112127839",
            "country_code": "US",
            "telephone_number": "718-971-1944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191147",
            "country_code": "US",
            "telephone_number": "212-523-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Amsterdam Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100251716",
            "country_code": "US",
            "telephone_number": "212-523-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 W 60th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100237903",
            "country_code": "US",
            "telephone_number": "212-523-8672",
            "fax_number": "212-265-3416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROVAR",
        "first_name": "GILBERT",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59935",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AK",
            "license": "180459",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "59935",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "159782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA78216",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0025387",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "059935",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3036014",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH",
            "identifier": "3944",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J07576",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brovarg@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "15818 Riverside Dr W Apt 6K",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100321064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.