Individual provider Active NPI

Gabriella Yemyashev

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1801647185
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1793218241 Issued in NY
Practice address
2148 Ocean Ave Ste 302
Brooklyn, NY 11229-1484
Phone
(718) 375-2505
Fax
(718) 375-2472
NPI assigned
Mar 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1793218241 NY Primary

Addresses

Primary practice location

2148 Ocean Ave Ste 302
Brooklyn, NY 11229-1484

Mailing address

415 E 37TH St Apt 18N
New York, NY 10016-3242
Phone (347) 757-9086

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
1793218241NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1801647185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 37TH ST APT 18N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163242",
            "telephone_number": "347-757-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 OCEAN AVE STE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291484",
            "telephone_number": "718-375-2505",
            "fax_number": "718-375-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEMYASHEV",
        "first_name": "GABRIELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1793218241",
            "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 Mar 27, 2024; 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.