Individual provider Active NPI

Cecilia Kilayko Gullas, R.N.

  • Registered Nurse
  • Jackson Heights, NY
National Provider Identifier
1760769046
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
485480 Issued in NY
Practice address
3731 73Rd St
Suite 3J
Jackson Heights, NY 11372-6250
Phone
(347) 617-2099
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 485480 NY Primary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 485480 NY
Administrator Registered Nurse 163WA2000X 485480 NY
Critical Care Medicine Registered Nurse 163WC0200X 485480 NY
Case Management Registered Nurse 163WC0400X 485480 NY
College Health Registered Nurse 163WC1400X 485480 NY
Community Health Registered Nurse 163WC1500X 485480 NY
Continence Care Registered Nurse 163WC2100X 485480 NY
Cardiac Rehabilitation Registered Nurse 163WC3500X 485480 NY
Diabetes Educator Registered Nurse 163WD0400X 485480 NY
Peritoneal Dialysis Registered Nurse 163WD1100X 485480 NY
Emergency Registered Nurse 163WE0003X 485480 NY
Enterostomal Therapy Registered Nurse 163WE0900X 485480 NY
Flight Registered Nurse 163WF0300X 485480 NY
Ambulatory Care Registered Nurse 163WP2201X 485480 NY

Addresses

Primary practice location

3731 73Rd St
Suite 3J
Jackson Heights, NY 11372-6250

Mailing address

3731 73Rd St
Suite 3J
Jackson Heights, NY 11372-6250

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
485480NYMDEmergency Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1760769046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 73RD ST",
            "address_2": "SUITE 3J",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 73RD ST",
            "address_2": "SUITE 3J",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726250",
            "telephone_number": "347-617-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLAS",
        "first_name": "CECILIA",
        "middle_name": "KILAYKO",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "485480",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "NY",
            "license": "485480",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NY",
            "license": "485480",
            "primary": false
        }
    ],
    "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 Nov 14, 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.

Verify at the official NPI Registry.