Individual provider Active NPI

Gulnara Taldibaeva-Pugliese, MD

  • Internal Medicine Physician
  • Margate, FL
National Provider Identifier
1689152902
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME153132 Issued in FL
Practice address
2416 N State Road 7
Margate, FL 33063-5720
Phone
(954) 779-5610
Fax
(954) 302-2420
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME153132 FL Primary

Addresses

Primary practice location

2416 N State Road 7
Margate, FL 33063-5720

Mailing address

6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202002944 FL Practitioner - Internal Medicine 2769872811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Wellness MD Internal Medicine CurrentSince Feb 26, 2025 Accepting new patients

Locations

141 NW 20th St
Ste G2
Boca Raton, FL 33431
Phone (561) 757-6198

Interoperability endpoints

  • Direct secure messaging: gulnara.taldibaeva-pugliese@ppc.emedpractice.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1689152902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333",
            "fax_number": "786-347-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 N STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635720",
            "telephone_number": "954-779-5610",
            "fax_number": "954-302-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALDIBAEVA-PUGLIESE",
        "first_name": "GULNARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME153132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.