Active NPI
Glory Favor Inc
- Clinic/Center
- Brooklyn, NY
National Provider Identifier
1093328890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- GLORY FAVOR INC
- Practice address
- 1461 E 103Rd St
Brooklyn, NY 11236-4513 - Phone
- (718) 838-8362
- NPI assigned
- Aug 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philomene Goueliani
- Title
- Owner
- Phone
- (718) 838-8362
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1461 E 103Rd St
Brooklyn, NY 11236-4513
Mailing address
1805 Pitkin Ave
Brooklyn, NY 11212-7831
Phone (718) 750-3406
Other practice location 1
1805 Pitkin Ave
Brooklyn, NY 11212-7831
Phone (718) 750-3406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Brooklyn, NY
- NPI 1891102885
-
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
- NPI 1184455768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1093328890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127831",
"telephone_number": "718-750-3406",
"fax_number": "718-750-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1461 E 103RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364513",
"telephone_number": "718-838-8362"
}
],
"practiceLocations": [
{
"address_1": "1805 Pitkin Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112127831",
"country_code": "US",
"telephone_number": "718-750-3406",
"fax_number": "718-750-3406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GLORY FAVOR INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-31",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "GOUELIANI",
"authorized_official_first_name": "PHILOMENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-838-8362"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.