Individual provider Active NPI

Graciela Giron, MSED

  • Specialist
  • Flushing, NY
National Provider Identifier
1083977821
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
344613091 Issued in NY
Practice address
14915 Delaware Ave
3FL
Flushing, NY 11355-1318
Phone
(347) 542-0516
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 344613091 NY Primary

Addresses

Primary practice location

14915 Delaware Ave
3FL
Flushing, NY 11355-1318

Mailing address

14915 Delaware Ave
3FL
Flushing, NY 11355-1318
Phone (347) 542-0516

Other identifiers 1

IdentifierTypeStateIssuer
52100MedicaidNY

Other names 1

  • Mrs. Graciela E Giron-Villacis Former name

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

State licenses

LicenseStateTypeSpecialty
344613091NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1083977821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14915 DELAWARE AVE",
            "address_2": "3FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551318",
            "telephone_number": "347-542-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14915 DELAWARE AVE",
            "address_2": "3FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551318",
            "telephone_number": "347-542-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRON",
        "first_name": "GRACIELA",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "344613091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACIELA",
            "last_name": "GIRON-VILLACIS",
            "middle_name": "E",
            "prefix": "MRS.",
            "credential": "MSED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.