Organization Active NPI

Gloryland Nurse Practitioner in Family Health P.C.

Doing business as Glorlyland Nurse Practitioners

  • Family Nurse Practitioner
  • Arverne, NY
National Provider Identifier
1952771545
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336516 Issued in NY
Legal business name
GLORYLAND NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Doing business as
Glorlyland Nurse Practitioners
Practice address
6226 Burchell Rd
Arverne, NY 11692-1343
Phone
(347) 469-9341
Fax
(718) 559-6466
NPI assigned
Sep 25, 2015
Last updated
Aug 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Mr. Afolabi Poroye, NPNPI 1386956654
Title
Ceo
Phone
(347) 469-9341

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
Family Nurse Practitioner 363LF0000X F336516 NY Primary

Addresses

Primary practice location

6226 Burchell Rd
Arverne, NY 11692-1343

Mailing address

6226 Burchell Rd
Arverne, NY 11692-1343
Phone (347) 469-9341

Other names 1

  • GLORLYLAND NURSE PRACTITIONERS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160812000284 NY Part B Supplier - Clinic/Group Practice 7517259369 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Arverne, 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1952771545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 BURCHELL RD",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921343",
            "telephone_number": "347-469-9341",
            "fax_number": "718-559-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 BURCHELL RD",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921343",
            "telephone_number": "347-469-9341",
            "fax_number": "718-559-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORYLAND NURSE PRACTITIONER IN FAMILY HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "POROYE",
        "authorized_official_first_name": "AFOLABI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-469-9341",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLORLYLAND NURSE PRACTITIONERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.