Active NPI
Ruzanna Gavriyelova, MSN, RN, AGNP
- Nurse Practitioner
- Flushing, NY
National Provider Identifier
1245849538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F30932301
- Practice address
- 7224 Kissena Blvd
Flushing, NY 11367-2729 - Phone
- (718) 570-2071
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F30932301 | NY | Primary |
Addresses
Primary practice location
7224 Kissena Blvd
Flushing, NY 11367-2729
Mailing address
10212 63Rd Ave
Forest Hills, NY 11375-1046
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F30932301 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1245849538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10212 63RD AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7224 KISSENA BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113672729",
"telephone_number": "718-570-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVRIYELOVA",
"first_name": "RUZANNA",
"credential": "MSN, RN, AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F30932301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.