Individual provider Active NPI

Gabriela Hundorfean, MD

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1992875017
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
202435 Issued in NY
Practice address
3424 Kossuth Ave
NCBH, PHP 11-a
Bronx, NY 10467-2410
Phone
(718) 519-4885
Fax
(718) 519-2366
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 202435 NY Primary

Addresses

Primary practice location

3424 Kossuth Ave
NCBH, PHP 11-a
Bronx, NY 10467-2410

Mailing address

3424 Kossuth Ave.
NCBH, PHP 11-a
Bronx, NY 10467
Phone (718) 519-4885

Other practice location 1

3584 Jerome Ave
Bronx, NY 10467-1006
Phone (718) 653-1537

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
I20071220000351 NY Practitioner - Psychiatry 0143310607 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Graduate Center for Mental HealthGroup PAC ID 9537050729, 15 clinicians

Practice addresses (Care Compare)

134 E 177TH St
Bronx, NY 10453-5902
Phone (212) 665-1860

1619 3Rd Ave
Suite 2022ND
New York, NY 10128-3459
Phone (212) 427-9730

National Provider Directory

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

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1992875017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 KOSSUTH AVE.",
            "address_2": "NCBH, PHP 11-A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-519-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 KOSSUTH AVE",
            "address_2": "NCBH, PHP 11-A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672410",
            "telephone_number": "718-519-4885",
            "fax_number": "718-519-2366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3584 Jerome Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104671006",
            "country_code": "US",
            "telephone_number": "718-653-1537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNDORFEAN",
        "first_name": "GABRIELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "202435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.