Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fani Gruber, PA

Individual provider Medical Physician Assistant · NPI 1013360049

Fani Gruber, PA is a Medical Physician Assistant in New York, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

169 Madison Ave Ste 15370
New York, NY 10016-5101
Phone: (844) 484-7362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 Northern Blvd, Albany, NY 12204-1004 — (518) 471-3221
  • 1300 Massachusetts Ave, Troy, NY 12180-1628 — (518) 268-5234

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 23 019861 (NY)

Record details

NPI number1013360049
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

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