Individual provider Active NPI

Ioana Gabriela Gaceu

  • Specialist
  • Jackson Heights, NY
National Provider Identifier
1689923625
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
608472121 Issued in NY
Practice address
3418 91St St
Apt. A63
Jackson Heights, NY 11372-3663
Phone
(646) 284-4782
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 608472121 NY Primary

Addresses

Primary practice location

3418 91St St
Apt. A63
Jackson Heights, NY 11372-3663

Mailing address

3418 91St St
Apt. A63
Jackson Heights, NY 11372-3663
Phone (646) 284-4782

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
608472121NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1689923625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 91ST ST",
            "address_2": "APT. A63",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723663",
            "telephone_number": "646-284-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 91ST ST",
            "address_2": "APT. A63",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723663",
            "telephone_number": "646-284-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACEU",
        "first_name": "IOANA",
        "middle_name": "GABRIELA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "608472121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.