Active NPI
Carline St Louis, MD
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1093799579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME74443
- Practice address
- 3414 Church Avenue
Brooklyn, NY 11203 - Phone
- (718) 630-2197
- Fax
- (718) 940-2914
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME74443 | FL | Primary |
Addresses
Primary practice location
3414 Church Avenue
Brooklyn, NY 11203
Mailing address
5800 3Rd Ave
Brooklyn, NY 11220-3702
Phone (718) 630-6180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254156400 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1093799579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203702",
"telephone_number": "718-630-6180",
"fax_number": "718-630-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 CHURCH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-630-2197",
"fax_number": "718-940-2914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST LOUIS",
"first_name": "CARLINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME74443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254156400",
"state": "FL"
}
],
"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 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.