Individual provider Active NPI

Gloria Varela Arregoces

  • Exclusive Provider Organization
  • New York, NY
National Provider Identifier
1649711086
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Practice address
641 Lexington Ave
622
New York, NY 10022-4503
Phone
(201) 936-8867
NPI assigned
Mar 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

641 Lexington Ave
622
New York, NY 10022-4503

Mailing address

641 Lexington Ave
622
New York, NY 10022-4503
Phone (201) 936-8867

Other identifiers 1

IdentifierTypeStateIssuer
YKZ3HZN18134430OtherNJHORIZON BLUE CROSS SHIELD OF NEW JERSEY

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

NPI Registry JSON

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1649711086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE",
            "address_2": "622",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "201-936-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE",
            "address_2": "622",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "201-936-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA ARREGOCES",
        "first_name": "GLORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS SHIELD OF NEW JERSEY",
            "identifier": "YKZ3HZN18134430",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.