Active NPI
Guergana P. Perceleanu, MSED
- Behavior Analyst
- Glendale, NY
National Provider Identifier
1275994238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 001732
- Practice address
- 7013 69TH PL
Glendale, NY 11385-6641 - Phone
- (907) 607-3285
- NPI assigned
- Mar 17, 2016
- Last updated
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | |||
| Behavior Analyst | 103K00000X | 001732 | NY | Primary |
Addresses
Primary practice location
7013 69TH PL
Glendale, NY 11385-6641
Mailing address
7013 69TH PL
Glendale, NY 11385-6641
Phone (907) 607-3285
Other names 1
- Guergana P. Boyanova
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001732 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geri P Services Inc. | Early Intervention Provider Agency | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Ridgewood, NY
- NPI 1588183339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1275994238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7013 69TH PL",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113856641",
"telephone_number": "907-607-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7013 69TH PL",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113856641",
"telephone_number": "907-607-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERCELEANU",
"first_name": "GUERGANA",
"middle_name": "P.",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GUERGANA",
"last_name": "BOYANOVA",
"middle_name": "P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.