Brielle Vodovoz, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

699586 Issued in NY

Practice address

324 Liberty Ave
Staten Island, NY 10305-2243

Phone

(914) 414-7442

Fax

(718) 987-0033

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1083081632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LIBERTY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052243",
            "telephone_number": "914-414-7442",
            "fax_number": "718-987-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LIBERTY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052243",
            "telephone_number": "914-414-7442",
            "fax_number": "718-987-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODOVOZ",
        "first_name": "BRIELLE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "699586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivid Imagination Station LLC
• Vivid Minds, LLC
• Vladimir Fedosseev Physical Therapy PC
• Nicholas Vlassenko, PT
• Margarita Vodopyanov, LMSW
• Jeanette Voice, MD
• Nargiza Volakos, FNP
• Biana Volfinzon, D.O
• Taylor Volini
• Viktoriya Volkova

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.