Individual provider Active NPI

Arlene Dianna George, N.P.

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1487841870
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304298 Issued in NY
Practice address
458 E 40TH St
Brooklyn, NY 11203-5123
Phone
(347) 357-1250
Fax
(347) 955-1543
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304298 NY Primary

Addresses

Primary practice location

458 E 40TH St
Brooklyn, NY 11203-5123

Mailing address

458 E 40TH St
Brooklyn, NY 11203-5123
Phone (347) 357-1250

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
I20151119001362 NY Practitioner - Nurse Practitioner 8022318229 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates, PC CurrentSince Mar 27, 2024 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Mar 27, 2024 Accepting new patients

Locations

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

Interoperability endpoints

  • Direct secure messaging: arlenegeorge@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1487841870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 E 40TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035123",
            "telephone_number": "347-357-1250",
            "fax_number": "347-955-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 E 40TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035123",
            "telephone_number": "347-357-1250",
            "fax_number": "347-955-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ARLENE",
        "middle_name": "DIANNA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.