Active NPI
Yuliya Gadulov, M.D.
- Anesthesiology Physician
- Forest Hills, NY
National Provider Identifier
1063813020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- P93534
- Practice address
- 6837 Yellowstone Blvd # 51
Forest Hills, NY 11375-3456 - Phone
- (516) 342-0129
- NPI assigned
- Sep 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | P93534 | NY | Primary |
Addresses
Primary practice location
6837 Yellowstone Blvd # 51
Forest Hills, NY 11375-3456
Mailing address
6837 Yellowstone Blvd # 51
Forest Hills, NY 11375-3456
Phone (516) 342-0129
Other names 1
- Yuliya Ilieva Dimova
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P93534 | NY | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1063813020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6837 YELLOWSTONE BLVD # 51",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753456",
"telephone_number": "516-342-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6837 YELLOWSTONE BLVD # 51",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753456",
"telephone_number": "516-342-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADULOV",
"first_name": "YULIYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "P93534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YULIYA",
"last_name": "DIMOVA",
"middle_name": "ILIEVA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.