Tea Koberidze

Primary specialty

SpecialistTaxonomy code 174400000X

License

CERTIFIED Issued in NY

Practice address

3176 Coney Island Ave Apt 2
Brooklyn, NY 11235-6411

Phone

(917) 747-1102

NPI assigned

Sep 10, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1427968544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 CONEY ISLAND AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356411",
            "telephone_number": "917-747-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 CONEY ISLAND AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356411",
            "telephone_number": "917-747-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBERIDZE",
        "first_name": "TEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "CERTIFIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koba Local Transportation
• Hanna Kobal, OTR/L
• Begum Kobanbay, BCBA, LBA
• Kristen Saemi Kobayashi
• Yuhei Kobayashi, MD
• Izabella Oksana Kobialko, DPT
• Keith Koblick, LMSW
• Stella Kobrin
• Felix Kobrinsky
• Julia Kobrinsky

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.