Individual provider Active NPI

Falla Lawrence Polycarpe

  • Women's Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1346898137
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421408-01 Issued in NY
Practice address
1457 E 93Rd St
Brooklyn, NY 11236-5042
Phone
(347) 933-7760
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F421408-01 NY Primary

Addresses

Primary practice location

1457 E 93Rd St
Brooklyn, NY 11236-5042

Mailing address

1457 E 93Rd St
Brooklyn, NY 11236-5042

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
I20220824002545 NY Practitioner - Nurse Practitioner 3577946565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F421408-01NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siuc Medical PC CurrentSince Jun 13, 2023 Accepting new patients
New York University CurrentSince Oct 23, 2023 Accepting new patients
New York University CurrentSince Oct 23, 2023 Accepting new patients
1211 WPR Medical Services PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

932 Southern Blvd
Bronx, NY 10459
Phone (646) 680-5200

326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

159 E 53rd St
Fl 4
New York, NY 10022
Phone (646) 754-1561

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: fpolycarpe582212@nyumc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1346898137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 E 93RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 E 93RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365042",
            "telephone_number": "347-933-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYCARPE",
        "first_name": "FALLA",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421408-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.