FUSEINA GIMBALLA
NPI 1265209977
Physician Assistant - Medical in New York, NY

NPI Status: Active since December 04, 2023

Contact Information

462 1ST AVE
NEW YORK, NY
ZIP 10016
Phone: (212) 263-2085

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About FUSEINA GIMBALLA

This page provides the complete NPI Profile along with additional information for Fuseina Gimballa, a primary care provider established in New York, New York with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1265209977 assigned on December 2023. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1265209977
Provider Name
FUSEINA GIMBALLA
Gender
Female
Entity Type
Individual
Location Address
462 1ST AVE NEW YORK, NY 10016
Location Phone
(212) 263-2085
Mailing Address
32 KATHWOOD RD WHITE PLAINS, NY 10607
Mailing Phone
(462) 867-6456
Is Sole Proprietor?
Yes
Enumeration Date
12-04-2023
Last Update Date
12-20-2023
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A primary care provider (PCP) like Fuseina Gimballa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Medicare Participation & PECOS Enrollment Status

Fuseina Gimballa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265209977
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221254018914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 4 + 0 + 1 + 8 + 9 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1265209977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376538538 KENNETH SUTIN MD
Individual
Anesthesiology (Critical Care Medicine)462 1ST AVE ROOM 11N34
NEW YORK, NY 10016
(212) 562-6571
1326026238DR. MELISSA W HULL M.D.
Individual
Anesthesiology462 1ST AVE
NEW YORK, NY 10016
(212) 263-6343
1265407050 SAPANA J SHAH MD, MPH
Individual
Internal Medicine462 1ST AVE BELLEVUE AMBULATORY CARE PAVILION 2ND FLOOR
NEW YORK, NY 10016
(212) 562-1686
1750357919DR. JOSEPH Z LUX M.D.
Individual
Internal Medicine (Infectious Disease)462 1ST AVE 17-SOUTH #21
NEW YORK, NY 10016
(212) 562-2283
1053377614DR. RICHARD STANLEY LEFLEUR M.D.
Individual
Radiology (Diagnostic Radiology)462 1ST AVE
NEW YORK, NY 10016
(212) 263-0050
1568400794DR. ERIC MITCHELL LEIBERT M.D.
Individual
Internal Medicine (Pulmonary Disease)462 1ST AVE 7 NORTH 24
NEW YORK, NY 10016
(212) 263-6479
1538109152MR. VADIM KAZIYEV PA
Individual
Physician Assistant (Surgical)462 1ST AVE 10 SOUTH 1
NEW YORK, NY 10016
(212) 562-2227
1548278609DR. JULIE ANN PROBST-RIORDAN M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)462 1ST AVE BELLEVUE HOSPITAL DEPT OF MEDICINE NBV 16SOUTH12
NEW YORK, NY 10016
(212) 263-0422
1356450746MS. NANCY JANE MURAKAMI LCSW
Individual
Social Worker (Clinical)462 1ST AVE CD745
NEW YORK, NY 10016
(347) 549-3975
1083703680DR. AMITASRIGOWRI SREENIVASA MURTHY MD, MPH
Individual
Obstetrics & Gynecology462 1ST AVE
NEW YORK, NY 10016
(212) 263-1404
1205910569 BARBARA A PORTER M.D.
Individual
Internal Medicine462 1ST AVE ADULT PRIMARY CARE CENTER, AMB CARE BLDG, 2D
NEW YORK, NY 10016
(212) 562-4141
1275618548DR. JASWINDER LEGHA MD
Individual
Internal Medicine462 1ST AVE ER ADMINISTRATIVE OFFICE, 3RD FLOOR
NEW YORK, NY 10016
(917) 776-1625
1619053444DR. ANDREW BRIAN WALLACH MD
Individual
Internal Medicine462 1ST AVE ROOM 2024- AMBCARE PAVILION
NEW YORK, NY 10016
(212) 562-1666
1598841066 MICHAEL PAUL JANJIGIAN M.D.
Individual
Internal Medicine462 1ST AVE
NEW YORK, NY 10016
(212) 562-2357
1528146446DR. ESTHER ROCHELLE BUTLER M.D.
Individual
Internal Medicine462 1ST AVE BELLEVUE HOSPITAL PRIMARY CARE CLINIC, 2ND FLOOR
NEW YORK, NY 10016
(212) 562-1685
1053498022DR. ROBERT JAY BOORSTEIN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)462 1ST AVE ROOM 4W1
NEW YORK, NY 10016
(212) 263-6438
1689753642DR. MICHAEL LOCURCIO M.D.
Individual
Internal Medicine462 1ST AVE OFFICE OF THE DEPARTMENT OF MEDICINE
NEW YORK, NY 10016
(212) 562-2357
1518046853DR. DAMARA NADINE GUTNICK M.D.
Individual
Internal Medicine462 1ST AVE
NEW YORK, NY 10016
(212) 562-1646
1962573303DR. DANIELLE OFRI MD, PHD
Individual
Internal Medicine462 1ST AVE BELLEVUE HOSPITAL MEDICAL CLINIC
NEW YORK, NY 10016
(212) 562-1700
1861563876DR. ELIAS GREGORY SAKALIS M.D.
Individual
Internal Medicine462 1ST AVE BELLEVUE HOSPITAL
NEW YORK, NY 10016
(917) 734-8639

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265209977, enumerated in the NPI registry as an "individual" on December 04, 2023

The provider is located at 462 1st Ave New York, Ny 10016 and the phone number is (212) 263-2085

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on December 04, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.