Gulistan Imamova

Primary specialty

SpecialistTaxonomy code 174400000X

License

CERTIFIED Issued in NY

Practice address

2032 E 63Rd St
Brooklyn, NY 11234-5910

Phone

(929) 405-7639

NPI assigned

Jan 10, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Special Stars Corporation

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1043033079
  NPD Authorized official

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1467223271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 E 63RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345910",
            "telephone_number": "929-405-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 E 63RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345910",
            "telephone_number": "929-405-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAMOVA",
        "first_name": "GULISTAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "CERTIFIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imaging Consultants and Billing of Ny, LLC
• Imago Medical Diagnostics P.C.
• Patricia Imahiyerobo, D.D.S
• Asim Imam, MD
• Tahrin Imam, MD
• Muhabbat Imamova
• Mazal Imani
• Daniel Michael Imas, MD
• Ernest Imatdinov, PHARM.D
• Erica M Imbert

• 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 Jan 10, 2024; 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.