Active NPI
Sofia Gadelov, FNP-BC
- Family Nurse Practitioner
- Miami Beach, FL
National Provider Identifier
1982494761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 357234
- Practice address
- 31 Venetian Way Apt 1504
Miami Beach, FL 33139-8855 - Phone
- (516) 641-6329
- NPI assigned
- May 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 357234 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | 11039546 | FL |
Addresses
Primary practice location
31 Venetian Way Apt 1504
Miami Beach, FL 33139-8855
Mailing address
31 Venetian Way Apt 1504
Miami Beach, FL 33139-8855
Other practice location 1
352 S 1st St
Brooklyn, NY 11211-5196
Phone (516) 641-6329
Other practice location 2
20295 NE 29th Pl Ste 300
Aventura, FL 33180-4109
Phone (516) 641-6329
Other practice location 3
749 Flanders Dr
Valley Stream, NY 11581-3148
Phone (516) 641-6329
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11039546 | FL | MD | Family Nurse Practitioner |
| 357234 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776470400000",
"number": "1982494761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 VENETIAN WAY APT 1504",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331398855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 VENETIAN WAY APT 1504",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331398855",
"telephone_number": "516-641-6329"
}
],
"practiceLocations": [
{
"address_1": "352 S 1st St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112115196",
"country_code": "US",
"telephone_number": "516-641-6329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20295 NE 29th Pl Ste 300",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331804109",
"country_code": "US",
"telephone_number": "516-641-6329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "749 Flanders Dr",
"address_purpose": "LOCATION",
"city": "Valley Stream",
"state": "NY",
"postal_code": "115813148",
"country_code": "US",
"telephone_number": "516-641-6329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GADELOV",
"first_name": "SOFIA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-07",
"last_updated": "2026-04-18",
"certification_date": "2026-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "357234",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11039546",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.