Individual provider Active NPI

Gemma Burgio, L-CAT, ATR-BC, MPS

  • Art Therapist
  • Brooklyn, NY
National Provider Identifier
1205230810
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
001633 Issued in NY
Practice address
1818 Newkirk Ave Apt 2R
Brooklyn, NY 11226-7324
Phone
(631) 827-1274
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 001633 NY Primary

Addresses

Primary practice location

1818 Newkirk Ave Apt 2R
Brooklyn, NY 11226-7324

Mailing address

1818 Newkirk Ave Apt 2R
Brooklyn, NY 11226-7324
Phone (631) 827-1274

Other practice location 1

941 Ocean Ave
Brooklyn, NY 11226-6715
Phone (631) 827-1274

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

LicenseStateTypeSpecialty
001633NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1205230810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEWKIRK AVE APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267324",
            "telephone_number": "631-827-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEWKIRK AVE APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267324",
            "telephone_number": "631-827-1274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "941 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112266715",
            "country_code": "US",
            "telephone_number": "631-827-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGIO",
        "first_name": "GEMMA",
        "credential": "L-CAT, ATR-BC, MPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001633",
            "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 Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.