NP in Family Health on Demand 247 PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

NP IN FAMILY HEALTH ON DEMAND 247 PLLC

Practice address

1119 Ocean Pkwy Apt F5
Brooklyn, NY 11230-4017

Phone

(347) 760-8197

NPI assigned

Feb 28, 2018

Last updated

Feb 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Galina Hoolin

Title

Credentialing Specialist

Phone

(216) 215-5420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1164923785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DORCHESTER ROAD",
            "address_2": "PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 OCEAN PKWY APT F5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304017",
            "telephone_number": "347-760-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP IN FAMILY HEALTH ON DEMAND 247 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "HOOLIN",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "216-215-5420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Brooklyn, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.