Active NPI
Victoria Martel Bruno, FNP-BC
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1235963133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F354189-01
- Practice address
- 258 Saint Nicholas Ave
New York, NY 10027-5351 - Phone
- (212) 222-0075
- NPI assigned
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F354189-01 | NY | Primary |
Addresses
Primary practice location
258 Saint Nicholas Ave
New York, NY 10027-5351
Mailing address
76 W 85TH St Apt 5E
New York, NY 10024-4519
Phone (203) 451-5569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Columbia University College of Physicians and Surgeons, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10740 Queens Blvd
Suite 204
Forest Hills, NY 11375-4201
76 W 85TH St
Apt 5E
New York, NY 10024-4519
76 W 85TH St Apt
5E
New York, NY 10024-4519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F354189-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Hills Dermatology Group PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Kew Gardens, NY
- NPI 1225309586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1235963133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 W 85TH ST APT 5E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100244519",
"telephone_number": "203-451-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 SAINT NICHOLAS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275351",
"telephone_number": "212-222-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "VICTORIA",
"middle_name": "MARTEL",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F354189-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.