Individual provider Active NPI

Gulnara Selyanina

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1902236276
Registry record updated Dec 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
784621131 Issued in NY
Practice address
1776 E 13TH St Apt 4K
Apt 4K
Brooklyn, NY 11229-1922
Phone
(347) 729-4383
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 784621131 NY Primary
Specialist 174400000X 784620131 NY

Addresses

Primary practice location

1776 E 13TH St Apt 4K
Apt 4K
Brooklyn, NY 11229-1922

Mailing address

1776 E 13TH St Apt 4K
Apt 4K
Brooklyn, NY 11229-1922
Phone (347) 729-4383

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
784620131NYMDSpecialist
784621131NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385856000000",
    "number": "1902236276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 E 13TH ST APT 4K",
            "address_2": "APT 4K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291922",
            "telephone_number": "347-729-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 E 13TH ST APT 4K",
            "address_2": "APT 4K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291922",
            "telephone_number": "347-729-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELYANINA",
        "first_name": "GULNARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "784621131",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "784620131",
            "primary": false
        }
    ],
    "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 Dec 1, 2013; 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.