Active NPI
Gloria Casternella Ferguson
- Licensed Practical Nurse
- Brooklyn, NY
National Provider Identifier
1114577574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 268442
- Practice address
- 1819 Bergen St
Brooklyn, NY 11233-4513 - Phone
- (718) 613-3134
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 268442 | NY | Primary |
Addresses
Primary practice location
1819 Bergen St
Brooklyn, NY 11233-4513
Mailing address
17411 128TH Ave
Jamaica, NY 11434-3327
Phone (718) 712-7363
Other practice location 1
17411 128th Ave
Jamaica, NY 11434-3327
Phone (718) 712-7363
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Gloria.Ferguson@omh.ny.gov | Health Information Exchange (HIE) | |
| CONNECT URL | Gloria.Ferguson@omh.ny.gov | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268442 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1114577574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17411 128TH AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114343327",
"telephone_number": "718-712-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 BERGEN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112334513",
"telephone_number": "718-613-3134"
}
],
"practiceLocations": [
{
"address_1": "17411 128th Ave",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114343327",
"country_code": "US",
"telephone_number": "718-712-7363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "GLORIA",
"middle_name": "CASTERNELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "268442",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Gloria.Ferguson@omh.ny.gov",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1819 Bergen St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112334513",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Gloria.Ferguson@omh.ny.gov",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1819 Bergen St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112334513",
"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 Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.