Individual provider Active NPI

Audrey F Blidgen-Torres, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1336341122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400979 Issued in NY
Practice address
288 Clinton St
2M
Brooklyn, NY 11201-6169
Phone
(917) 287-2562
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400979 NY Primary

Addresses

Primary practice location

288 Clinton St
2M
Brooklyn, NY 11201-6169

Mailing address

288 Clinton St
2M
Brooklyn, NY 11201-6169
Phone (917) 287-2562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017002714 NY Practitioner - Nurse Practitioner 6002282043 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400979NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf NP in Psychiatry PC Psychiatric/Mental Health CurrentSince Mar 4, 2026 Accepting new patients
Transitional Services for New York, Inc CurrentSince Sep 6, 2022 Accepting new patients
Transitional Services for New York,Inc. PastSince Sep 6, 2022 Accepting new patients

Locations

9027 Sutphin Blvd
Ste 5
Jamaica, NY 11435
Phone (718) 526-8400

1016 162nd St
Whitestone, NY 11357
Phone (718) 746-6647

Organizations & group practices 3

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336341122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 CLINTON ST",
            "address_2": "2M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016169",
            "telephone_number": "917-287-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 CLINTON ST",
            "address_2": "2M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016169",
            "telephone_number": "917-287-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIDGEN-TORRES",
        "first_name": "AUDREY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.