FANI GRUBER (NPI# 1013360049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013360049 |
| Entity Type | Individual |
| Full Name | FANI GRUBER |
| Credential | PA |
| Practice Address |
600 Northern Blvd Albany NY 12204-1004 |
| Practice Telephone | 5184713221 |
| Mailing Telephone | 5184713221 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
23 019861 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Massachusetts Ave, Troy, NY 121801628 | 5182685234 |
| Street Address |
600 NORTHERN BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12204-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717038 | Brooke Anna Coticchio | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-08-28 |
| 1528628187 | Joni Ann Goldberg | Speech-Language Pathologist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-06-17 |
| 1326506122 | Alexis Erin Michele Lane | Nurse Practitioner | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-03-11 |
| 1093288300 | Giuseppe Ragonese | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-01-09 |
| 1225500416 | Misty Ash Jones | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
| 1235601428 | Deborah D'amico | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
| 1679089973 | Jessica Elizabeth Breda | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-12-21 |
| 1568985521 | Jordyn Diane Thiem | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-21 |
| 1144743436 | Lisa Marie Slade | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-19 |
| 1659891208 | Laura Segal | Physical Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
| 1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
| 1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
| 1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
| 1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
| 1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
| Find all providers in zip 12204 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489384 | Jessica Patrizio | Physician Assistant | 25 Hackett Blvd # Mc69, Albany, NY 12208-3462 | 2015-06-11 |
| 1952799611 | Tezita Beemnet | Physician Assistant | 1712 E Broad Ave # Setc, Albany, GA 31705-2611 | 2015-01-05 |
| 1437485257 | Rebecca M Hosey | Physician Assistant | 116 Everett Road, Medical Pain Management Services, Pllc, Albany, NY 12205-1427 | 2009-10-29 |
| 1124185590 | Christine Elizabeth Mcgovern | Physician Assistant | 1400 Washington Ave, University Health Center, Albany, NY 12222-0100 | 2007-01-03 |
| 1508893157 | Cheryl J Perog | Physician Assistant | St. Peter's Hospitoal Occupational Health, 310 South Manning Boulevard, Albany, NY 12053 | 2006-06-27 |
| 1598744534 | Richard H Stowe Jr. | Physician Assistant | 425 W 3rd Ave Ste 550, Albany, GA 31701-1999 | 2006-01-10 |
| 1043218878 | John A Dennis | Physician Assistant | 1200 N Jefferson St, Albany, GA 31701-2057 | 2005-07-14 |
| 1265430326 | Dennis I. Silber | Physician Assistant | 2 Palisades Drive, Albany, NY 12205-1438 | 2005-07-12 |
| 1700496635 | Angela Cunningham | Physician Assistant | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-08-05 |
| 1629619846 | Daniel A Horton | Physician Assistant | 123 Everett Rd, Albany, NY 12205-1407 | 2019-09-30 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.