Active NPI
Hadon Wilson, LPN
- Licensed Practical Nurse
- Brooklyn, NY
National Provider Identifier
1023341484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 247487
- Practice address
- 219 Halsey St
Brooklyn, NY 11216-2203 - Phone
- (718) 638-1933
- NPI assigned
- Sep 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 247487 | NY | Primary |
Addresses
Primary practice location
219 Halsey St
Brooklyn, NY 11216-2203
Mailing address
219 Halsey St
Brooklyn, NY 11216-2203
Phone (718) 638-1933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247487 | Other | NY | OFFICE OF PROFESSIONS - LPN LICENSE |
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 |
|---|---|---|---|
| 247487 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1023341484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 HALSEY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162203",
"telephone_number": "718-638-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 HALSEY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162203",
"telephone_number": "718-638-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "HADON",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "247487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF PROFESSIONS - LPN LICENSE",
"identifier": "247487",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.