Individual provider Active NPI

Aleksandr Gurgov

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1184225880
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346734-01 Issued in NY
Practice address
740 E 9TH St
Brooklyn, NY 11230-2202
Phone
(917) 797-3290
NPI assigned
Nov 8, 2020
Last updated
Nov 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346734-01 NY Primary

Addresses

Primary practice location

740 E 9TH St
Brooklyn, NY 11230-2202

Mailing address

740 E 9TH St
Brooklyn, NY 11230-2202
Phone (917) 797-3290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112001497 NY Practitioner - Nurse Practitioner 7618369182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F346734-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
A Gurgov NP in Family Health Family Wellness Clinic CurrentSince Jun 29, 2026 Accepting new patients
Hasc Diagnostic & Treatment Center, Inc CurrentSince Dec 1, 2021 Accepting new patients
Hasc Diagnostic &Treatment Center, Inc CurrentSince Dec 1, 2021 Accepting new patients
Hasc Diagnostic & Treatment Center, Inc Past Accepting new patients

Locations

1221 E 14th St
Brooklyn, NY 11230
Phone (718) 434-4600

5601 1st Ave
Brooklyn, NY 11220
Phone (718) 650-0110

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aleksandrgurgov@mai.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1184225880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302202",
            "telephone_number": "917-797-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302202",
            "telephone_number": "917-797-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGOV",
        "first_name": "ALEKSANDR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346734-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.