Individual provider Active NPI

Diana Gabrielyan

  • Social Worker
  • Rego Park, NY
National Provider Identifier
1275877540
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
087343 Issued in NY
Practice address
6344 Saunders St
Suite 102
Rego Park, NY 11374-2039
Phone
(347) 255-2087
Fax
(718) 228-9488
NPI assigned
Nov 26, 2012
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 087343 NY Primary

Addresses

Primary practice location

6344 Saunders St
Suite 102
Rego Park, NY 11374-2039

Mailing address

4166 Little Neck Pkwy
Floor 1
Little Neck, NY 11363-1708

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
087343NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1275877540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 LITTLE NECK PKWY",
            "address_2": "FLOOR 1",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 SAUNDERS ST",
            "address_2": "SUITE 102",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742039",
            "telephone_number": "347-255-2087",
            "fax_number": "718-228-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELYAN",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.