Active NPI
Teresa Gao
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1740566322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056091
- Practice address
- 1402 Sheepshead Bay Rd
Brooklyn, NY 11235-3814 - Phone
- (646) 409-4569
- NPI assigned
- Oct 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 056091 | NY | Primary |
Addresses
Primary practice location
1402 Sheepshead Bay Rd
Brooklyn, NY 11235-3814
Mailing address
4255 Colden St Apt 10M
Flushing, NY 11355-3943
Phone (646) 409-4569
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056091 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1740566322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 COLDEN ST APT 10M",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553943",
"telephone_number": "646-409-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 SHEEPSHEAD BAY RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353814",
"telephone_number": "646-409-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.