Linda Gavrielov, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

10460 Queens Blvd
Apt 22G
Forest Hills, NY 11375-7301

Phone

(917) 658-3012

NPI assigned

Apr 17, 2009

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1639312770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 GLENBROOK RD APT 41C",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069062527",
            "telephone_number": "917-658-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10460 QUEENS BLVD",
            "address_2": "APT 22G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757301",
            "telephone_number": "917-658-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRIELOV",
        "first_name": "LINDA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006739-1",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "001284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastro 2020 PLLC
• Gastroenterology & Liver Disease, PC
• Gastroenterology & Nutrition, PC
• Fatima Gaton
• Israel Gavrielov
• Frederick Gay
• Farhad Mohammad Gazi, MD
• Neveen Samy Youssef Gebrail
• Danielle Geli, AGACDNP
• Natalya Gelshteyn, PT

• Registered Dietitian in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.