Active NPI
Asya Balagulova
- Social Worker
- Brooklyn, NY
National Provider Identifier
1467571661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1670-78 East 17TH Street
Brooklyn, NY 11229-1258 - Phone
- (718) 375-1200
- Fax
- (718) 382-3358
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
1670-78 East 17TH Street
Brooklyn, NY 11229-1258
Mailing address
3178 Nostrand Ave Apt 5a
Brooklyn, NY 11229-3220
Phone (718) 376-8781
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interborough Developmental and Consultation Center, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IDCC Health Services
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1912867433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467571661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3178 NOSTRAND AVE APT 5A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293220",
"telephone_number": "718-376-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670-78 EAST 17TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291258",
"telephone_number": "718-375-1200",
"fax_number": "718-382-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAGULOVA",
"first_name": "ASYA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.