NP ADULT HEALTH & GERONTOLOGY PC NPI 1659758621

NPI Information

  • NPI: 1659758621
  • Provider Name: NP ADULT HEALTH & GERONTOLOGY PC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 126 CORBIN PL
    BROOKLYN, NY
    ZIP 11235
  • Phone: (347) 729-5904

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NPI Details

NP ADULT HEALTH & GERONTOLOGY PC is an adult health nurse practitioner in Brooklyn, NY. NP ADULT HEALTH & GERONTOLOGY PC NPI is 1659758621. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

126 CORBIN PL
BROOKLYN, NY
ZIP 11235-811
Phone: (347) 729-5904

The provider's authorized official is Alina Boshakova .
The authorized official title is Np and has the following contact phone number (347) 729-5904.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 2/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse569215-1NEW YORKNo
2363LG0600XNurse PractitionerGerontologyF340890-1NEW YORKNo
3363LA2200XNurse PractitionerAdult HealthF306361-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A100123835MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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