Individual provider Active NPI

Helena Glodova

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1235387390
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
672863 Issued in NY
Practice address
2003 Avenue J
Apt # 4G
Brooklyn, NY 11210-3646
Phone
(718) 510-6007
NPI assigned
Sep 3, 2008
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 672863 NY Primary
Licensed Practical Nurse 164W00000X 282926 NY

Addresses

Primary practice location

2003 Avenue J
Apt # 4G
Brooklyn, NY 11210-3646

Mailing address

2003 Avenue J
Apt # 4G
Brooklyn, NY 11210-3646
Phone (718) 252-0939

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
672863NYMDRegistered Nurse
282926NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1235387390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 AVENUE J",
            "address_2": "APT # 4G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103646",
            "telephone_number": "718-252-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 AVENUE J",
            "address_2": "APT # 4G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103646",
            "telephone_number": "718-510-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLODOVA",
        "first_name": "HELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "672863",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "282926",
            "primary": false
        }
    ],
    "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 Jul 16, 2013; 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.