Organization Active NPI

Emil Gurshumov Medical P.C.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Brooklyn, NY
National Provider Identifier
1932531340
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
265211 Issued in NY
Legal business name
EMIL GURSHUMOV MEDICAL P.C.
Practice address
2265 Ocean Pkwy
Apt 2B
Brooklyn, NY 11223-5149
Phone
(718) 934-0322
Fax
(718) 934-0994
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Dr. Emil L Gurshumov, MDNPI 1942529367
Title
President and Owner
Phone
(718) 934-0322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VF0040X 265211 NY Primary

Addresses

Primary practice location

2265 Ocean Pkwy
Apt 2B
Brooklyn, NY 11223-5149

Mailing address

1811 Quentin Rd
Apt 2D
Brooklyn, NY 11229-1343
Phone (646) 633-3833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131202000699 NY Part B Supplier - Clinic/Group Practice 5991931636 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1932531340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 QUENTIN RD",
            "address_2": "APT 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291343",
            "telephone_number": "646-633-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 OCEAN PKWY",
            "address_2": "APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235149",
            "telephone_number": "718-934-0322",
            "fax_number": "718-934-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMIL GURSHUMOV MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "GURSHUMOV",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "718-934-0322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NY",
            "license": "265211",
            "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 Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.