CARIN LIELA GANNON
NPI 1467263491
Physician Assistant in New York, NY
About Carin Liela Gannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARIN LIELA GANNON (NPI 1467263491) is an individual physician assistant in New York, New York, licensed in New York (033317) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Carin Liela Gannon 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
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 Carin Gannon's NPI number?
The NPI number for Carin Gannon is 1467263491. It was assigned to this individual provider in the NPPES registry on January 17, 2025.
Where is Carin Gannon located?
Carin Gannon practices at 1 Gustave L Levy Pl # 1149, New York, NY 10029. The listed phone number is (203) 913-9582.
What is Carin Gannon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Carin Gannon enrolled in Medicare?
Yes. Carin Gannon 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 Carin Gannon affiliated with any hospitals?
According to CMS data, Carin Gannon is affiliated with Mount Sinai Hospital.
When was this NPI record last updated?
The NPPES record for Carin Gannon was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Carin Liela Gannon · NPI 1467263491
Physician Assistant physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 17, 2025.
## Identity
- **NPI:** 1467263491 (Entity type: Individual)
- **Enumerated:** January 17, 2025
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 033317 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUSTAVE L LEVY PL # 1149, New York, NY 10029-6504
- **Phone:** (203) 913-9582
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467263491) · Data from the CMS NPPES public registry.