MR. CONSTANTINE FERNANDEZ GULMATICO III PA-C
NPI 1962711689
Physician Assistant - Surgical in Brooklyn, NY

Active since September 29, 2010Opted out of Medicare · through Jan 1, 2028
506 6TH ST, BROOKLYN, NY 11215(718) 780-5942(718) 780-3287 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Constantine Fernandez Gulmatico Iii Pa-c NPPES

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

MR. CONSTANTINE FERNANDEZ GULMATICO III PA-C (NPI 1962711689) is an individual surgical provider in Brooklyn, New York, licensed in New York (014230) and active in the NPI registry since September 2010. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962711689
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CONSTANTINE FERNANDEZ GULMATICO IIICredential: PA-C
Location Address506 6TH STBrooklyn, NY 11215-3609
Mailing Address2345 56th DrBrooklyn, NY 11234-6820 · (917) 755-4843
Fax(718) 780-3287
Sole ProprietorNo
Enumeration DateSeptember 29, 2010
Last NPPES UpdateFebruary 27, 2018
NPI 1962711689 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 · 014230
506 6TH ST, Brooklyn, NY 11215

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Constantine Fernandez Gulmatico Iii Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Surgery
506 6TH ST
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Nurse Practitioner (Adult Health)
506 6TH ST, EP2
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215
Pathology (Anatomic Pathology)
506 6TH ST
BROOKLYN, NY 11215
Pediatrics
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215

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 Constantine Gulmatico's NPI number?

The NPI number for Constantine Gulmatico is 1962711689. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Constantine Gulmatico located?

Constantine Gulmatico practices at 506 6th St, Brooklyn, NY 11215. The listed phone number is (718) 780-5942.

What is Constantine Gulmatico's specialty?

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

Is Constantine Gulmatico enrolled in Medicare?

No. Constantine Gulmatico has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Constantine Gulmatico was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.