Organization Active NPI

Eighty 8TH NP in Adult Health P.C

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1134937220
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EIGHTY 8TH NP IN ADULT HEALTH P.C
Practice address
1817 Flatbush Ave
Brooklyn, NY 11210-4854
Phone
(347) 636-4005
NPI assigned
Dec 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Dr. Marie Guerline Paul, NPNPI 1356516447
Title
Ceo
Phone
(347) 636-4005

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1817 Flatbush Ave
Brooklyn, NY 11210-4854

Mailing address

1214 E 88TH St Apt 1
Brooklyn, NY 11236-4916
Phone (347) 636-4005

Other names 1

  • EIGHTY 8TH NP IN ADULT HEALTH Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250103002778 NY Part B Supplier - Clinic/Group Practice 7113455155 Receives reassigned benefits from 1 practitioner
Practice locations: Ardsley, NY; Brooklyn, NY; Port Jefferson Station, NY

National Provider Directory

National Provider Directory

Locations

12 Lincoln Ave
Ardsley, NY 10502
Phone (914) 693-1146

1817 Flatbush Ave
Brooklyn, NY 11210
Phone (347) 636-4005

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": "1734739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1134937220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E 88TH ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364916",
            "telephone_number": "347-636-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104854",
            "telephone_number": "347-636-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIGHTY 8TH NP IN ADULT HEALTH P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-21",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "GUERLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-636-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EIGHTY 8TH NP IN ADULT HEALTH",
            "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 Oct 23, 2025; 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.