Individual provider Active NPI

Verlaine Aubourg

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1306168380
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
299949 Issued in NY
Practice address
1809 Nostrand Avenue
2 ND Floor
Brooklyn, NY 11226-7181
Phone
(718) 421-4224
Fax
(718) 421-4774
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 299949 NY Primary

Addresses

Primary practice location

1809 Nostrand Avenue
2 ND Floor
Brooklyn, NY 11226-7181

Mailing address

28 Paerdegat 8 TH Street
1 St Floor
Brooklyn, NY 11236-4108
Phone (917) 889-1024

Other identifiers 1

IdentifierTypeStateIssuer
02386450MedicaidNY

Other names 1

  • Verlaine Aubourg Professional name

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
299949NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Helpful Hand Agency Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1306168380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PAERDEGAT 8 TH STREET",
            "address_2": "1 ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364108",
            "telephone_number": "917-889-1024",
            "fax_number": "917-889-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 NOSTRAND AVENUE",
            "address_2": "2 ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267181",
            "telephone_number": "718-421-4224",
            "fax_number": "718-421-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBOURG",
        "first_name": "VERLAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02386450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERLAINE",
            "last_name": "AUBOURG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jun 13, 2014; 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.