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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336516
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Afolabi Poroye, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Health Clinical Nurse Specialist
- Arverne, NY
- NPI 1386956654
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.