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

Gabrielle Olivia Gontarek

Individual provider Physician Assistant · NPI 1629871470

Gabrielle Olivia Gontarek is a Physician Assistant in Providence, Rhode Island. Qualified in 2025, 1 year ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2025
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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 793-9166
Fax: (401) 444-2788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 593 Eddy Street, Apc 7, Providence, RI 02903-4923 — (401) 793-9132
  • 593 Eddy Street, Apc 6, Providence, RI 02903-4923 — (401) 793-9166

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01797 (RI)

Record details

NPI number1629871470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJune 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Providence