Individual provider Active NPI

Paula Rose Brooks-Obas, REGISTERED NURSE

  • Case Management Registered Nurse
  • Hempstead, NY
National Provider Identifier
1285254185
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
605046 Issued in NY
Practice address
166 Brown Ave
Hempstead, NY 11550-7139
Phone
(516) 412-5473
Fax
(516) 710-7565
NPI assigned
Apr 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 605046 NY Primary

Addresses

Primary practice location

166 Brown Ave
Hempstead, NY 11550-7139

Mailing address

166 Brown Ave
Hempstead, NY 11550-7139
Phone (516) 412-5473

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
605046NYMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1285254185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BROWN AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507139",
            "telephone_number": "516-412-5473",
            "fax_number": "516-710-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BROWN AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507139",
            "telephone_number": "516-412-5473",
            "fax_number": "516-710-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-OBAS",
        "first_name": "PAULA",
        "middle_name": "ROSE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "605046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.