Individual provider Active NPI

Wave Pascal M. Saint Fleur

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1356943195
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
804194 Issued in NY
Practice address
9223 Glenwood Rd Apt 1
Brooklyn, NY 11236-3421
Phone
(347) 984-3072
NPI assigned
Nov 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 804194 NY Primary

Addresses

Primary practice location

9223 Glenwood Rd Apt 1
Brooklyn, NY 11236-3421

Mailing address

9223 Glenwood Rd Apt 1
Brooklyn, NY 11236-3421
Phone (347) 984-3072

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
804194NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1356943195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9223 GLENWOOD RD APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363421",
            "telephone_number": "347-984-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9223 GLENWOOD RD APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363421",
            "telephone_number": "347-984-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT FLEUR",
        "first_name": "WAVE PASCAL",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "804194",
            "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 Nov 16, 2020; 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.