Gabrielle Borges
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tarrytown, NY
NPI 1962048686 · NPPES record last updated Nov 19, 2019
Key facts
- NPI
- 1962048686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 16 Rivers Edge Dr Unit 207
Tarrytown, NY 10591-7512 - Phone
- (914) 309-3645
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210324002032 | NY | Order and Referring Only - Physician Assistant | 1658788328 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- gborges673090@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
16 Rivers Edge Dr Unit 207
Tarrytown, NY 10591-7512
Mailing address
16 Rivers Edge Dr Unit 207
Tarrytown, NY 10591-7512
Other providers in Tarrytown, NY
- Anton Bluman
- Charles Alan Boardman
- Diana Lynn Bonuomo
- Robert Lee Boothe
- Eric William Borcherding
- Mark E Boseley
- Stephanie Bosson
- Tara A Bosworth
- Ned Braunstein
- Brian Israel D.O., P.C.
All providers in Tarrytown, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.