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FANI GRUBER PA
NPI 1013360049
Physician Assistant - Medical in New York, NY

Active since July 14, 2016PECOS Enrolled
169 MADISON AVE STE 15370, NEW YORK, NY 10016(844) 484-7362 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2025, Mar 17, 2018, Jul 14, 2016 (3 updates tracked since 2016).

About Fani Gruber Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANI GRUBER PA (NPI 1013360049) is an individual medical provider in New York, New York, licensed in New York (23 019861) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013360049
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameFANI GRUBERCredential: PA
Location Address169 MADISON AVE STE 15370New York, NY 10016-5101
Mailing Address600 Northern BlvdAlbany, NY 12204-1004 · (518) 471-3221
Phone(844) 484-7362
Sole ProprietorNo
Enumeration DateJuly 14, 2016
Last NPPES UpdateMay 20, 20253 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1013360049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 23 019861
169 MADISON AVE STE 15370, New York, NY 10016
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Secondary Practice Locations 2

Location 11300 Massachusetts AveTroy, NY 12180-1628 · Phone (518) 268-5234
Location 2600 Northern BlvdAlbany, NY 12204-1004 · Phone (518) 471-3221

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fani Gruber Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE M CHEUNG PA-C
Physician Assistant (Medical)
169 MADISON AVE STE 15370
NEW YORK, NY 10016
New York County (844) 484-7362
DONNA SILVERNAIL PA
Physician Assistant
169 MADISON AVE STE 15370
NEW YORK, NY 10016
New York County (844) 484-7362
MAUREEN STOREY FNP-BC
Nurse Practitioner (Family)
169 MADISON AVE STE 15370
NEW YORK, NY 10016
New York County (844) 484-7362
MRS. ASHLEY ROSE HART PA
Physician Assistant (Medical)
169 MADISON AVE STE 15370
NEW YORK, NY 10016
New York County (844) 484-7362
MS. JOCELYN REBECCA MCDONALD PA-C
Physician Assistant (Surgical)
169 MADISON AVE STE 15370
NEW YORK, NY 10016
New York County (844) 484-7362
UPSTATE CONCIERGE MEDICINE PLLC
Emergency Medicine
169 MADISON AVE STE 15370
NEW YORK, NY 10016
New York County (844) 484-7362
CHRISTOPHER LEE WALKER FNP-C
Nurse Practitioner (Family)
169 MADISON AVE STE 15370
NEW YORK, NY 10016
New York County (844) 484-7362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fani Gruber's NPI number?

The NPI number for Fani Gruber is 1013360049. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Fani Gruber located?

Fani Gruber practices at 169 Madison Ave Ste 15370, New York, NY 10016. The listed phone number is (844) 484-7362.

What is Fani Gruber's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Fani Gruber enrolled in Medicare?

Yes. Fani Gruber is registered in the Medicare PECOS enrollment system.

What insurance does Fani Gruber accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Fani Gruber as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fani Gruber was last updated on May 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.