Individual provider Active NPI

Alexander Golubev

  • Contractor
  • Hallandale Beach, FL
National Provider Identifier
1558173591
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
W264779 Issued in FL
Practice address
2017 S Ocean Dr Apt 303
Hallandale Beach, FL 33009-6626
Phone
(786) 360-9188
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X W264779 FL Primary

Addresses

Primary practice location

2017 S Ocean Dr Apt 303
Hallandale Beach, FL 33009-6626

Mailing address

2017 S Ocean Dr Apt 303
Hallandale Beach, FL 33009-6626
Phone (786) 360-9188

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agolubev1@enrollnowmedicare.org Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
W264779FLMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1558173591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 S OCEAN DR APT 303",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096626",
            "telephone_number": "786-360-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S OCEAN DR APT 303",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096626",
            "telephone_number": "786-360-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUBEV",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "W264779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agolubev1@enrollnowmedicare.org",
            "affiliation": "N",
            "endpointDescription": "Secure Encrypted Hushmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2017 S Ocean Dr Apt 303",
            "city": "Hallandale Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330096626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.