Active NPI
Fab LLC
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1316298656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1942590302
- Legal business name
- FAB LLC
- Practice address
- 4024 Hubbard PL
Brooklyn, NY 11210-4953 - Phone
- (917) 865-3482
- Fax
- (718) 252-2596
- NPI assigned
- Sep 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Faith A Bernal, RN
- Title
- President & Ceo
- Phone
- (917) 865-3482
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1942590302 | NY | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
4024 Hubbard PL
Brooklyn, NY 11210-4953
Mailing address
4024 Hubbard PL
Brooklyn, NY 11210-4953
Phone (917) 865-3482
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348617600000",
"number": "1316298656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 HUBBARD PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104953",
"telephone_number": "917-865-3482",
"fax_number": "718-252-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 HUBBARD PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104953",
"telephone_number": "917-865-3482",
"fax_number": "718-252-2596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A",
"authorized_official_last_name": "BERNAL",
"authorized_official_first_name": "FAITH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "917-865-3482",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NY",
"license": "1942590302",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 26, 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.