Physician Compare National (NPI:1144753815)

HEALTHCARE PROVIDER: GUNIT TUMBER PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144753815
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426335951
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170510000250
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TUMBER
	Individual professional last name
Provider First Name	GUNIT
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CITY MEDICAL OF UPPER EAST SIDE, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0648465039
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	544
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2187 RICHMOND AVE
	Group Practice or individual's line 1 address
City	STATEN ISLAND
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	103143920
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6466827364
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y