Active NPI
Mazol Gavrelova
- Specialist
- Brooklyn, NY
National Provider Identifier
1396604161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3052271
- Practice address
- 1160 59TH St Apt 2R
Brooklyn, NY 11219-4995 - Phone
- (347) 335-7688
- NPI assigned
- Jan 19, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3052271 | NY | Primary |
| Professional Counselor | 101YP2500X | NY |
Addresses
Primary practice location
1160 59TH St Apt 2R
Brooklyn, NY 11219-4995
Mailing address
1160 59TH St Apt 2R
Brooklyn, NY 11219-4995
Phone (347) 335-7688
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 |
|---|---|---|---|
| 3052271 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778976000000",
"number": "1396604161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 59TH ST APT 2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194995",
"telephone_number": "347-335-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 59TH ST APT 2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194995",
"telephone_number": "347-335-7688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVRELOVA",
"first_name": "MAZOL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-19",
"last_updated": "2026-05-17",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "3052271",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.