Look up the most recent NPI and PECOS records

Kim Gembecki

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1428 Grasslands Road, Valhalla, NY 10595

PECOS Enrollment

Based on the most recent information from CMS, provider Kim Gembecki is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1154581577
Provider Type
Individual
Full Name
Gembecki, Kim
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/10/2008
Last Updated
6/10/2008

Contact Information

Practice Location

1428 Grasslands Road, Valhalla, NY 10595

(914) 646-1865

Unlisted Fax

Mailing Location

26 Lincoln Rd, Putnam Valley, NY 10579-2614

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 333877 New York

Kim Gembecki

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Kola, Antoneta

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Tejada, Delilah C

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Nair, Jayasree

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