Active NPI
Phedre Phara Paulemon, MSN, APRN, FNP-C
- Primary Care Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 343011
- Practice address
- 375 Linden Blvd
Brooklyn, NY 11203-2709 - Phone
- (917) 907-0797
- Fax
- (718) 540-8678
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12.0095564 | CT | |
| Family Nurse Practitioner | 363LF0000X | 2598428 | FL | |
| Family Nurse Practitioner | 363LF0000X | 343011 | NY | |
| Primary Care Nurse Practitioner | 363LP2300X | 343011 | NY | Primary |
Addresses
Primary practice location
375 Linden Blvd
Brooklyn, NY 11203-2709
Mailing address
2525 Nostrand Ave Apt 2C
Brooklyn, NY 11210-4715
Phone (954) 867-6982
Other practice location 1
2525 Nostrand Ave Apt 2C
Brooklyn, NY 11210-4715
Phone (917) 907-0797
Other practice location 2
2601 OCEAN Pkwy
Pagny
Brooklyn, NY 11235
Phone (718) 616-5500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05401478 | Medicaid | NY | |
| 241008000231 | Other | NY | FIDELIS |
| 0798935 | Other | NY | CIGNA |
| P0569292 | Other | NY | ELDERPLAN |
| 3886122 | Other | NY | AETNA |
| F343011-CID | Other | NY | HEALTHFIRST |
Other names 1
- Ms. Phara Paulemon
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
594 Albany Ave
Brooklyn, NY 11203-1706
Phone (646) 694-6680
Hospital & facility affiliations
- South Brooklyn Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12.0095564 | CT | MD | Family Nurse Practitioner |
| 2598428 | FL | MD | Family Nurse Practitioner |
| 343011 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitals Healthcare SVCS | Single Specialty | Current | Accepting new patients |
| Coney Island Medical Practice Plan, P.C. | Single Specialty | Current | Accepting new patients |
| Physician Affiliate Group of New York PC | Single Specialty | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Single Specialty | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Single Specialty | Current | Accepting new patients |
| Vitals Healthcare SVCS | Single Specialty | Current | Accepting new patients |
Locations
594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680
2925 W 19th St
Brooklyn, NY 11224
Phone (718) 616-6034
2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
50 Water St
Fl 3
New York, NY 10004
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ppaulemon557233@nychhc.direct-ci.com
Organizations & group practices 6
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
Single Specialty
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
Single Specialty
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
Single Specialty
-
- Clinic/Center
- New York, NY
- NPI 1538943469
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1376748558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 NOSTRAND AVE APT 2C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104715",
"telephone_number": "954-867-6982",
"fax_number": "917-933-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 LINDEN BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032709",
"telephone_number": "917-907-0797",
"fax_number": "718-540-8678"
}
],
"practiceLocations": [
{
"address_1": "2525 Nostrand Ave Apt 2C",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112104715",
"country_code": "US",
"telephone_number": "917-907-0797",
"fax_number": "917-933-4212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 OCEAN Pkwy",
"address_2": "PAGNY",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11235",
"country_code": "US",
"telephone_number": "718-616-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAULEMON",
"first_name": "PHEDRE",
"middle_name": "PHARA",
"name_prefix": "Ms.",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "12.0095564",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "2598428",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "343011",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "343011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05401478",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "241008000231",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0798935",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "P0569292",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3886122",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "F343011-CID",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PHARA",
"last_name": "PAULEMON",
"prefix": "MS.",
"credential": "RN, NP",
"code": "5",
"type": "Other Name"
}
]
}
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 Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.