Active NPI
Claude Aline Charles Pericles, NP
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F333819-1
- Practice address
- 100 North Portland Avenue
Department of Medicine
Brooklyn, NY 11205 - Phone
- (718) 260-7500
- NPI assigned
- Sep 16, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F333819-1 | NY | Primary |
Addresses
Primary practice location
100 North Portland Avenue
Department of Medicine
Brooklyn, NY 11205
Mailing address
760 Broadway
Department of Manged Care Room 2B-230
Brooklyn, NY 11236
Phone (718) 630-3220
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, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Portland Ave
Brooklyn, NY 11205-2005
Phone (718) 616-3885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F333819-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500
760 Broadway
Rm 2B230
Brooklyn, NY 11206
485 Throop Ave
Brooklyn, NY 11221
Phone (718) 574-2462
50 Water St
Fl 3
New York, NY 10004
227 Madison St
New York, NY 10002
Phone (212) 238-7000
227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- cpericles562145@nychhc.direct-ci.com
Organizations & group practices 5
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
-
- Clinic/Center
- New York, NY
- NPI 1235147497
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Clinic/Center
- Brooklyn, NY
- NPI 1356406136
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1427366095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "DEPARTMENT OF MANGED CARE ROOM 2B-230",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11236",
"telephone_number": "718-630-3220",
"fax_number": "718-630-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NORTH PORTLAND AVENUE",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11205",
"telephone_number": "718-260-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES PERICLES",
"first_name": "CLAUDE",
"middle_name": "ALINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F333819-1",
"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 Aug 18, 2015; 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.