Individual provider Active NPI

Huldah Primo

  • General Practice Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1073746855
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
568338 Issued in NY
Practice address
1030 Crescent St
Brooklyn, NY 11208-5520
Phone
(347) 615-2282
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 568338 NY
Critical Care Medicine Registered Nurse 163WC0200X 568338 NY
General Practice Registered Nurse 163WG0000X 568338 NY Primary
Home Health Registered Nurse 163WH0200X 568338 NY
Infusion Therapy Registered Nurse 163WI0500X 568338 NY
Maternal Newborn Registered Nurse 163WM0102X 568338 NY
Medical-Surgical Registered Nurse 163WM0705X 568338 NY
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 568338 NY
Ambulatory Care Registered Nurse 163WP2201X 568338 NY
Rehabilitation Registered Nurse 163WR0400X 568338 NY
Wound Care Registered Nurse 163WW0000X 568338 NY
Ambulatory Women's Health Care Registered Nurse 163WW0101X 568338 NY
Inpatient Obstetric Registered Nurse 163WX0003X 568338 NY
Ostomy Care Registered Nurse 163WX1500X 568338 NY

Addresses

Primary practice location

1030 Crescent St
Brooklyn, NY 11208-5520

Mailing address

1030 Crescent St
Brooklyn, NY 11208
Phone (347) 615-2282

Other names 1

  • Huldah Julien Other name

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
568338NYMDOstomy Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1073746855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 CRESCENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11208",
            "telephone_number": "347-615-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 CRESCENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085520",
            "telephone_number": "347-615-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMO",
        "first_name": "HULDAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "568338",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NY",
            "license": "568338",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "NY",
            "license": "568338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HULDAH",
            "last_name": "JULIEN",
            "credential": "REGISTERED NURSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 27, 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.

Verify at the official NPI Registry.