GABRIELL BUDOFF AGNP-C NPI 1265911473

NPI Information

  • NPI: 1265911473
  • Provider Name: GABRIELL BUDOFF, AGNP-C
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 HATCHETTS HILL RD
    OLD LYME, CT
    ZIP 06371
  • Phone: (800) 370-3651

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NPI Details

Gabriell Budoff, AGNP-C is a gerontology nurse practitioner in Old Lyme, CT with 8 years of experience. Gabriell Budoff, AGNP-C NPI is 1265911473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 HATCHETTS HILL RD
OLD LYME, CT
ZIP 06371-534
Phone: (800) 370-3651
Fax: (877) 515-7147

The NPI 1265911473 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional (HCPCS:99484)
  • Telehealth originating site facility fee (HCPCS:Q3014)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 8/8/2018 and was last updated on 9/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology7860CONNECTICUTYes
2363L00000XNurse PractitionerRN2318664MASSACHUSETTSNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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