Individual provider Active NPI

Mireille Geneus

  • Medical-Surgical Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1245744028
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
506863 Issued in NY
Practice address
811 Cortelyou Rd Apt 5D
Brooklyn, NY 11218-6301
Phone
(347) 668-4558
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 506863 NY Primary

Addresses

Primary practice location

811 Cortelyou Rd Apt 5D
Brooklyn, NY 11218-6301

Mailing address

811 Cortelyou Rd Apt 5D
Brooklyn, NY 11218-6301
Phone (347) 668-4558

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
506863NYMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1245744028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CORTELYOU RD APT 5D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112186301",
            "telephone_number": "347-668-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CORTELYOU RD APT 5D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112186301",
            "telephone_number": "347-668-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENEUS",
        "first_name": "MIREILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "506863",
            "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 Nov 30, 2017; 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.