Active NPI
Adelina Gurgov
- Specialist
- Brooklyn, NY
National Provider Identifier
1124738554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 44 Court St Ste 1217
Brooklyn, NY 11201-4410 - Phone
- (347) 970-2188
- NPI assigned
- Nov 28, 2022
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
44 Court St Ste 1217
Brooklyn, NY 11201-4410
Mailing address
10510 62ND Rd Apt 4G
Forest Hills, NY 11375-1122
Phone (917) 519-0241
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | metuka21s@yahoo.com | Direct | Bloomer Health PT, OT, SLP Services, PLLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1124738554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10510 62ND RD APT 4G",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751122",
"telephone_number": "917-519-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 COURT ST STE 1217",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014410",
"telephone_number": "347-970-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURGOV",
"first_name": "ADELINA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "metuka21s@yahoo.com",
"affiliation": "Y",
"affiliationName": "Bloomer Health PT, OT, SLP Services, PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "44 Court St Ste 1217",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112014410",
"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 Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.