Individual provider Active NPI

Sofia Gadelov, FNP-BC

  • Family Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1982494761
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357234 Issued in NY
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

Updated by the provider on Apr 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11039546FLMDFamily Nurse Practitioner
357234NYMDFamily 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.

Verify at the official NPI Registry.