Viviana Gavela

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

210385 Issued in NY

Practice address

1100 Coney Island Ave
Suite 414
Brooklyn, NY 11230-2344

Phone

(718) 434-1200

Fax

(718) 434-1099

NPI assigned

Dec 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1235550427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 BOOTH ST",
            "address_2": "FLOOR 2",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741561",
            "telephone_number": "646-234-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CONEY ISLAND AVE",
            "address_2": "SUITE 414",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302344",
            "telephone_number": "718-434-1200",
            "fax_number": "718-434-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVELA",
        "first_name": "VIVIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-15",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "210385",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "210385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Gauthier-Francois, SLP
• Arinxe Randy Gauthier, MD
• Deirdre Gavagan, LMSW
• Jacqueline Gavagan, MS SLP-CCC
• Olga Gavarukhina
• Alice Clara Gavin, LP
• Anusha Reddy Gavini
• Marie Gaviola
• Martha Gaviria, FNTP, RWS
• Burkho Gavrelova, REGISTERED NURSE

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.