Victor Abuseridze

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHACERTIFICATEA00483 Issued in NY

Practice address

2145 Ocean Avenue, Apt. 9a
Brooklyn, NY 11229

Phone

(347) 549-6512

NPI assigned

Jul 11, 2013

Last updated

Aug 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1013358654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 OCEAN AVE APT A9",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291470",
            "telephone_number": "347-549-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 OCEAN AVENUE, APT. 9A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "347-549-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUSERIDZE",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "HHACERTIFICATEA00483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA CERTIFICATE",
            "identifier": "A00483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abundant Life Agency, Inc.
• Munira Abuoraq
• Samia Aburawi, MD
• Wakas Abusabe
• Olga Abuseridze
• Abdurrahman Abushady
• Mohammad Waleed Abushawer, MD
• Aleksandra Abushinova, SI
• Abdelkarim Abuzahrieh, PA
• Islam Abuzahrieh

• Home Health Aide in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.