FUSEINA GIMBALLA
NPI 1265209977
Physician Assistant - Medical in New York, NY
About Fuseina Gimballa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FUSEINA GIMBALLA (NPI 1265209977) is an individual medical provider in New York, New York and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fuseina Gimballa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Fuseina Gimballa's NPI number?
The NPI number for Fuseina Gimballa is 1265209977. It was assigned to this individual provider in the NPPES registry on December 4, 2023.
Where is Fuseina Gimballa located?
Fuseina Gimballa practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 263-2085.
What is Fuseina Gimballa's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Fuseina Gimballa enrolled in Medicare?
Yes. Fuseina Gimballa is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Fuseina Gimballa was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fuseina Gimballa · NPI 1265209977
Medical physician in New York, New York. Individual provider, active in the CMS NPPES registry since December 4, 2023.
## Identity
- **NPI:** 1265209977 (Entity type: Individual)
- **Enumerated:** December 4, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 462 1ST AVE, New York, NY 10016-9196
- **Phone:** (212) 263-2085
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1265209977) · Data from the CMS NPPES public registry.