Individual provider Active NPI

Ricardo Mowassee, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1316393051
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340289 Issued in NY
Practice address
198 Foster Ave, Suite B
Brooklyn, NY 11230-2134
Phone
(718) 854-3005
Fax
(718) 854-9803
NPI assigned
May 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340289 NY Primary

Addresses

Primary practice location

198 Foster Ave, Suite B
Brooklyn, NY 11230-2134

Mailing address

198 Foster Ave, Suite B
Brooklyn, NY 11230-2134
Phone (718) 854-3005

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1316393051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 FOSTER AVE, SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302134",
            "telephone_number": "718-854-3005",
            "fax_number": "718-854-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 FOSTER AVE, SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302134",
            "telephone_number": "718-854-3005",
            "fax_number": "718-854-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWASSEE",
        "first_name": "RICARDO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340289",
            "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 May 12, 2016; 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.