Gina Mavroudis, MASTERS

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

7616 13TH Ave
Brooklyn, NY 11228-2412

Phone

(718) 921-0606

NPI assigned

Feb 11, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1508280686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 80TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282711",
            "telephone_number": "917-559-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282412",
            "telephone_number": "718-921-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVROUDIS",
        "first_name": "GINA",
        "credential": "MASTERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121787354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shokhsanam Mavlonkulova
• Linnea Leaver Mavrides, PSY.D.
• Georgios Mavrogiannis, DDS
• Mavros Transportation Inc
• Nicholas Mavrostomos, DDS
• Ebru Mavruk
• Max Health Care Medical PC
• Max Medical Supply Inc.
• Max Medical, PLLC
• Chana Max

• 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 Feb 11, 2014; 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.