Individual provider Active NPI

Alexander Galayev, RN

  • Administrator Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1033710462
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
563826 Issued in NY
Practice address
3235 Emmons Ave Apt 312
Brooklyn, NY 11235-1133
Phone
(917) 415-3996
NPI assigned
Nov 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 563826 NY
Administrator Registered Nurse 163WA2000X 563826 NY Primary

Addresses

Primary practice location

3235 Emmons Ave Apt 312
Brooklyn, NY 11235-1133

Mailing address

3235 Emmons Ave Apt 312
Brooklyn, NY 11235-1133
Phone (917) 415-3996

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brooklyn Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
563826NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1033710462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 EMMONS AVE APT 312",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351133",
            "telephone_number": "917-415-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 EMMONS AVE APT 312",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351133",
            "telephone_number": "917-415-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAYEV",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "563826",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "563826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Brooklyn",
            "address_1": "3235 Emmons Ave Apt 312",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112351133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.