KRISTOFFERSON GABRIEL TEMPLO
NPI 1396457990
Physician Assistant - Surgical in Brooklyn, NY

Active since December 15, 2022PECOS EnrolledAccepts Medicare Assignment
150 55TH ST, BROOKLYN, NY 11220(718) 630-7000 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristofferson Gabriel Templo NPPES

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

KRISTOFFERSON GABRIEL TEMPLO (NPI 1396457990) is an individual surgical provider in Brooklyn, New York and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396457990
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKRISTOFFERSON GABRIEL TEMPLO
Location Address150 55TH STBrooklyn, NY 11220-2508
Mailing Address1077 Nostrand Ave Unit 1Brooklyn, NY 11225-4121 · (469) 674-0681
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 15, 2022
NPPES CertifiedDecember 14, 2022
NPI 1396457990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
150 55TH ST, Brooklyn, NY 11220

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristofferson Gabriel Templo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991152811
PECOS Enrollment IDI20231114000927
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 20

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

Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Psychiatry & Neurology (Psychiatry)
150 55TH ST
BROOKLYN, NY 11220
Pharmacist (Oncology)
150 55TH ST
BROOKLYN, NY 11220
Nurse Practitioner (Primary Care)
150 55TH ST
BROOKLYN, NY 11220
Physician Assistant
150 55TH ST
BROOKLYN, NY 11220
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Hospitalist
150 55TH ST
BROOKLYN, NY 11220

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 Kristofferson Templo's NPI number?

The NPI number for Kristofferson Templo is 1396457990. It was assigned to this individual provider in the NPPES registry on December 15, 2022.

Where is Kristofferson Templo located?

Kristofferson Templo practices at 150 55th St, Brooklyn, NY 11220. The listed phone number is (718) 630-7000.

What is Kristofferson Templo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kristofferson Templo enrolled in Medicare?

Yes. Kristofferson Templo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kristofferson Templo was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.