NPIMap

Organization Active NPI

Eddy J Vincent, Physician, PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1194961870
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
133188 Issued in NY
Legal business name
EDDY J VINCENT, PHYSICIAN, PC
Practice address
224 New York Ave
Brooklyn, NY 11216-4067
Phone
(718) 493-6964
Fax
(718) 493-6968
NPI assigned
Dec 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Eddy J Vincent
Title
Physician
Phone
(718) 493-6964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 133188 NY Primary

Addresses

Primary practice location

224 New York Ave
Brooklyn, NY 11216-4067

Mailing address

224 New York Ave
Brooklyn, NY 11216-4067
Phone (718) 493-6964

National Provider Directory

National Provider Directory

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": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1194961870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164067",
            "telephone_number": "718-493-6964",
            "fax_number": "718-493-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164067",
            "telephone_number": "718-493-6964",
            "fax_number": "718-493-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDY J VINCENT, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "EDDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-493-6964",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "133188",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 30, 2008; 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.