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MR. EZRA GILLEGO RPA-C
NPI 1407061393
Physician Assistant - Surgical in New York, NY

Active since May 13, 2007PECOS EnrolledAccepts Medicare Assignment
1ST AVE 16TH STREET, NEW YORK, NY 10003(212) 420-2953 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ezra Gillego Rpa-c NPPES

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

MR. EZRA GILLEGO RPA-C (NPI 1407061393) is an individual surgical provider in New York, New York, licensed in New York (011163) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1407061393
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. EZRA GILLEGOCredential: RPA-C
Location Address1ST AVE 16TH STREETNew York, NY 10003
Mailing Address464 E Beech StLong Beach, NY 11561-3604 · (516) 523-0577
Phone(212) 420-2953
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 13, 2007
Last NPPES UpdateMarch 11, 2014
✔ NPI 1407061393 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
License✔ Licensed in NY · 011163
1ST AVE 16TH STREET, New York, NY 10003
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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

Mr. Ezra Gillego Rpa-c 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 ID2961708847
PECOS Enrollment IDI20160303001003
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
51 services49 patients
Insertion of tube for infusion (5 years or older) 36569
This procedure involves placing a small, flexible tube into a vein, usually in the arm. It's done to allow quick, efficient delivery of fluids or medications directly into the bloodstream. It's a common, safe process that helps manage various health conditions.
49 services49 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$68.26 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$35.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. EARLE W HAYES DO
Internal Medicine (Critical Care Medicine)
1ST AVE 16TH STREET, 12 BAIRD HALL
NY, NY 10003
New York County (212) 420-2377
LYUDMILA KATS MEDICAL CARE PC
Specialist
1ST AVE 16TH STREET
NEW YORK, NY 10003
New York County (212) 844-1427

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 Ezra Gillego's NPI number?

The NPI number for Ezra Gillego is 1407061393. It was assigned to this individual provider in the NPPES registry on May 13, 2007.

Where is Ezra Gillego located?

Ezra Gillego practices at 1st Ave 16th Street, New York, NY 10003. The listed phone number is (212) 420-2953.

What is Ezra Gillego's specialty?

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

Is Ezra Gillego enrolled in Medicare?

Yes. Ezra Gillego 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.

Is Ezra Gillego affiliated with any hospitals?

According to CMS data, Ezra Gillego is affiliated with St Francis Hospital - The Heart Center, Good Samaritan Hospital Medical Center and Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Ezra Gillego was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.