Individual provider Active NPI

Violeta I Kumurdjieva, MA

  • Specialist
  • Rego Park, NY
National Provider Identifier
1407167588
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
6441 Saunders St
Apt. 207
Rego Park, NY 11374-3248
Phone
(718) 786-3383
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

6441 Saunders St
Apt. 207
Rego Park, NY 11374-3248

Mailing address

6441 Saunders St
Apt. 207
Rego Park, NY 11374-3248
Phone (718) 786-3383

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1407167588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 SAUNDERS ST",
            "address_2": "APT. 207",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743248",
            "telephone_number": "718-786-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 SAUNDERS ST",
            "address_2": "APT. 207",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743248",
            "telephone_number": "718-786-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMURDJIEVA",
        "first_name": "VIOLETA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "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 Jun 15, 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.