Vyacheslav Gulkarov, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344086 Issued in NY

Practice address

6560 Booth St Apt 4D
Rego Park, NY 11374-4133

Phone

(917) 640-4589

NPI assigned

May 28, 2013

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ya Anesthesia Ny PCGroup PAC ID 2668711490, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: vyacheslav.gulkarov@4109.securemail.prognocis.com

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.

• Ya Anesthesia Ny PC

  • Interventional Pain Medicine Physician
  • Rego Park, NY
  • NPI 1447723986
  Medicare reassignment Care Compare group NPD
• Gulkarov Family Health NP PLLC

  • Family Nurse Practitioner
  • Elmhurst, NY
  • NPI 1205469244
  Medicare reassignment Authorized official
• Igor Rubinshteyn MD PC

  • Orthopaedic Surgery Physician
  • Rego Park, NY
  • NPI 1962668814
  Medicare reassignment NPD

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1285071555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 BOOTH ST APT 4D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744133",
            "telephone_number": "917-640-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 BOOTH ST APT 4D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744133",
            "telephone_number": "917-640-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULKAROV",
        "first_name": "VYACHESLAV",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "624171-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sin I Gu, MS, OTR/L
• Arthur Gudeon, DPM
• Giselle Mary Guerra, BCBA
• Guiding Light Speech Language Pathologist, PLLC
• David Khayim Gulamov, PA
• Rakhel Gurgova
• Isha Gurung, OTR/L
• Guy G. Crevecoeur, MD
• Alexander Guzman, SOCIAL WORKER
• Habitat Physical Therapy PLLC (Habitat Physical Therapy)

• Family Nurse Practitioner in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.