Individual provider Active NPI

Oksana Gaydash

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1417414640
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
953362151 Issued in NY
Practice address
10 Shore Blvd Apt 6L
Brooklyn, NY 11235-4027
Phone
(347) 282-3725
NPI assigned
Feb 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 953362151 NY Primary

Addresses

Primary practice location

10 Shore Blvd Apt 6L
Brooklyn, NY 11235-4027

Mailing address

10 Shore Blvd Apt 3H
Brooklyn, NY 11235-4023
Phone (347) 282-3725

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
953362151NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sana G ABA Corp CurrentSince Mar 13, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1417414640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHORE BLVD APT 3H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354023",
            "telephone_number": "347-282-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHORE BLVD APT 6L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354027",
            "telephone_number": "347-282-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYDASH",
        "first_name": "OKSANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "953362151",
            "primary": true
        }
    ],
    "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 Mar 7, 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.

Verify at the official NPI Registry.