Organization Active NPI

Precise NP in Family Health, P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1063866945
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRECISE NP IN FAMILY HEALTH, P.C.
Practice address
1222 E 103Rd St
Brooklyn, NY 11236-4502
Phone
(347) 489-9954
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Herlande Penn DurandisseNPI 1790937894
Title
Owner
Phone
(347) 489-9954

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

1222 E 103Rd St
Brooklyn, NY 11236-4502

Mailing address

1222 E 103Rd St
Brooklyn, NY 11236-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160609001349 NY Part B Supplier - Clinic/Group Practice 9830489467 Receives reassigned benefits from 1 practitioner
Practice locations: Amityville, NY; West Babylon, NY

National Provider Directory

National Provider Directory

Locations

249 Pennsylvania Ave
Brooklyn, NY 11207
Phone (347) 547-3626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1063866945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 E 103RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 E 103RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364502",
            "telephone_number": "347-489-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE NP IN FAMILY HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "PENN DURANDISSE",
        "authorized_official_first_name": "HERLANDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-489-9954"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 7, 2024; 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.

Verify at the official NPI Registry.