Active NPI
Radha Gurung
- Licensed Practical Nurse
- Elmhurst, NY
National Provider Identifier
1114171683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 276052
- Practice address
- 4037 77TH St
Apt 4J
Elmhurst, NY 11373-1156 - Phone
- (347) 513-2545
- NPI assigned
- Nov 11, 2008
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 276052 | NY | Primary |
Addresses
Primary practice location
4037 77TH St
Apt 4J
Elmhurst, NY 11373-1156
Mailing address
40-37 77TH Street
Apt 4J
Elmhurst, NY 11373
Phone (347) 513-2545
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
| License | State | Type | Specialty |
|---|---|---|---|
| 276052 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1114171683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40-37 77TH STREET",
"address_2": "APT 4J",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "347-513-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4037 77TH ST",
"address_2": "APT 4J",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731156",
"telephone_number": "347-513-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURUNG",
"first_name": "RADHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "276052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.