NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE
NPI 1376124297
Nurse Practitioner - Adult Health in Bronx, NY

Active since April 21, 2021
100 WEST KINDSBRIDGE ROAD, BRONX, NY 10468(917) 915-2866 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nurse Practitioner In Adult Gerontology Family And Pallative NPPES

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

NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE (NPI 1376124297) is a healthcare organization registered as an adult health in Bronx, New York and active in the NPI registry since April 2021. The organization lists Josephine Zetilia Gabriel, Member, as its authorized official.

NPPES Registry Identity

NPI1376124297
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameNURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE
Location Address100 WEST KINDSBRIDGE ROADBronx, NY 10468-0355
Mailing Address169 S Main StNew City, NY 10956-3353 · (917) 915-2866
Organization SubpartNo
Authorized OfficialJosephine Zetilia GabrielMember · (917) 915-2866
Enumeration DateApril 21, 2021
NPPES CertifiedMarch 26, 2021
NPI 1376124297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
100 WEST KINDSBRIDGE ROAD, Bronx, NY 10468

Other Identifiers 1

Medicaid1356367569NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Nurse Practitioner In Adult Gerontology Family And Pallative's NPI number?

The NPI number for Nurse Practitioner In Adult Gerontology Family And Pallative is 1376124297. It was assigned to this organization in the NPPES registry on April 21, 2021.

Where is Nurse Practitioner In Adult Gerontology Family And Pallative located?

Nurse Practitioner In Adult Gerontology Family And Pallative is located at 100 West Kindsbridge Road, Bronx, NY 10468. The listed phone number is (917) 915-2866.

What is Nurse Practitioner In Adult Gerontology Family And Pallative's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Nurse Practitioner In Adult Gerontology Family And Pallative was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.