Organization Active NPI

Gladys L. Duma, LCSW P.C.

  • Adult Mental Health Clinic/Center
  • Woodside, NY
National Provider Identifier
1215512413
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GLADYS L. DUMA, LCSW P.C.
Practice address
45 35 67TH Street Unit MD1
Woodside, NY 11377
Phone
(646) 427-8464
NPI assigned
Mar 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Gladys Lucia Duma, LCSW
Title
LCSW
Phone
(646) 427-8464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

45 35 67TH Street Unit MD1
Woodside, NY 11377

Mailing address

9018 107TH Ave
Ozone Park, NY 11417-1335
Phone (646) 427-8464

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL desktops

National Provider Directory

National Provider Directory

Locations

4135 67th St
Unit Md
Woodside, NY 11377
Phone (646) 427-8464

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1215512413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 107TH AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171335",
            "telephone_number": "646-427-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 35 67TH STREET UNIT MD1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "646-427-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADYS L. DUMA, LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "DUMA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "646-427-8464",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktops",
            "affiliation": "N",
            "address_1": "45 35 67th Street Unit MD1",
            "city": "Woodside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.