Judith Meronvil, M.S

Primary specialty

SpecialistTaxonomy code 174400000X

License

533188111 Issued in NY

Practice address

1520 E 13TH St
Brooklyn, NY 11230-7106

Phone

(718) 382-1060

NPI assigned

Jul 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Judith Vixama Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• New York League for Early Learning

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1699025288
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1295081305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362011",
            "telephone_number": "718-257-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307106",
            "telephone_number": "718-382-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERONVIL",
        "first_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "533188111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "VIXAMA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Toby R. Mermelstein, M.S.
• Yehudis Mermelstein, MS CF SLP
• Chaya Mermerstein
• Mildred Veronica Mero, LCSW
• Andrew Merola, MD
• Neal Jay Meropol, MD
• Florin E Merovici, M.D.
• Julia Merrell, PMHNP
• James Boyd Merrick
• Lauren Merrifield

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.