Active NPI
Igor Gurin
- General Practice Registered Nurse
- Brooklyn, NY
National Provider Identifier
1508234782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 667041
- Practice address
- 3323 Nostrand Ave.
Apt. 3J
Brooklyn, NY 11229-3726 - Phone
- (718) 322-8121
- NPI assigned
- Sep 4, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 667041 | NY | Primary |
Addresses
Primary practice location
3323 Nostrand Ave.
Apt. 3J
Brooklyn, NY 11229-3726
Mailing address
3323 Nostrand Ave
Apt#3J
Brooklyn, NY 11229-3758
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
| License | State | Type | Specialty |
|---|---|---|---|
| 667041 | NY | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1508234782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3323 NOSTRAND AVE",
"address_2": "APT#3J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3323 NOSTRAND AVE.",
"address_2": "APT. 3J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293726",
"telephone_number": "718-322-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURIN",
"first_name": "IGOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-04",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "667041",
"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 Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.