Doctor profile · Federal record
Dr. Juliette Provenzano-Gober
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Tarrytown, NY
- NPI 1336466705
- Accepts Medicare
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
155 White Plains RD Ste 210
Tarrytown, NY 105915653
(914) 372-7171 - Mailing address
-
45 Half Moon Ln
Irvington, NY 105332520
Credentials & registration
- NPI registered
- April 2010 — 16 yrs on file
- Profile last updated
- February 6, 2025
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- New York #263433
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336466705. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $15.44 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
85
Patients
83
Total drug cost
$612
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 28 | 28 | $238 |
| Prednisone | Generic | 18 | 18 | $28 |
| Doxycycline Hyclate | Generic | 14 | 13 | $155 |
| Paxlovid (Eua) (Nirmatrelvir/Ritonavir) | Brand | 13 | 13 | $124 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 12 | 11 | $68 |
Frequently asked questions
What is Dr. Juliette Provenzano-Gober's medical specialty?
Dr. Juliette Provenzano-Gober practices Internal Medicine Physician in Tarrytown, NY.
Where does Dr. Juliette Provenzano-Gober practice?
Dr. Juliette Provenzano-Gober practices at 155 White Plains RD Ste 210, Tarrytown, NY 105915653. Office phone: 9143727171.
What is Dr. Juliette Provenzano-Gober's NPI?
Dr. Juliette Provenzano-Gober's National Provider Identifier (NPI) is 1336466705, issued by NPPES.
Does Dr. Juliette Provenzano-Gober accept Medicare assignment?
Yes. Dr. Juliette Provenzano-Gober accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.