Active NPI
Candida Rosa Minier
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1376188656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 745419
- Practice address
- 451 Clarkson Ave
Brooklyn, NY 11203-2054 - Phone
- (917) 500-1367
- NPI assigned
- Nov 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 745419 | NY | |
| Registered Nurse | 163W00000X | 745419 | NY | Primary |
Addresses
Primary practice location
451 Clarkson Ave
Brooklyn, NY 11203-2054
Mailing address
953 Cleveland St
Brooklyn, NY 11208-5313
Phone (917) 500-1367
Other practice location 1
25 Avenue D
New York, NY 10009-6935
Phone (917) 500-1367
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
| License | State | Type | Specialty |
|---|---|---|---|
| 745419 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1376188656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 CLEVELAND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112085313",
"telephone_number": "917-500-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032054",
"telephone_number": "917-500-1367"
}
],
"practiceLocations": [
{
"address_1": "25 Avenue D",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100096935",
"country_code": "US",
"telephone_number": "917-500-1367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINIER",
"first_name": "CANDIDA ROSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-11",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "745419",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "745419",
"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 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.