Gina Marie Burkhart, SPECIAL EDUCATION

Key facts

NPI

1275299703

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

Practice address

49 Zenith Rd
Rocky Point, NY 11778-8877

Phone

(631) 764-1222

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other names

• Mrs. Gina Marie Guilfoyle Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 12, 2021.

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1275299703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ZENITH RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788877",
            "telephone_number": "631-764-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ZENITH RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788877",
            "telephone_number": "631-764-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "SPECIAL EDUCATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "GUILFOYLE",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocky Point, NY

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All providers in Rocky Point, NY · Behavior Analyst in New York