NPIMap

Organization Active NPI

Heartshare Wellness, LTD.

  • Public Health or Welfare Agency
  • Brooklyn, NY
National Provider Identifier
1487895371
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HEARTSHARE WELLNESS, LTD.
Practice address
177 Livingston St
Lower Level
Brooklyn, NY 11201-7000
Phone
(718) 855-7707
Fax
(718) 855-7717
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Jude Alexandre, MSW
Title
Clinic Director
Phone
(718) 855-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

177 Livingston St
Lower Level
Brooklyn, NY 11201-7000

Mailing address

177 Livingston St
Lower Level
Brooklyn, NY 11201-7000
Phone (718) 855-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000469 NY Part B Supplier - Clinic/Group Practice 8921992967 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Brooklyn, NY; Fresh Meadows, NY; Glendale, NY; Staten Island, NY; Woodside, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Heartshare Wellness LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 Court St
Ste 901
Brooklyn, NY 11201
Phone (347) 328-8110

347 74th St
#16
Brooklyn, NY 11209

4504 Avenue L
Ste 4506
Brooklyn, NY 11234

6749 3rd Ave
Brooklyn, NY 11220

3108 Quentin Rd
Brooklyn, NY 11234

347 74th St
Fl 3
Brooklyn, NY 11209

12430 Flatlands Ave
Ste 1224
Brooklyn, NY 11239

177 Livingston St
Fl 2
Brooklyn, NY 11201

15905 Union Tpke
#1
Fresh Meadows, NY 11366

6710 Myrtle Ave
#2
Glendale, NY 11385

1424 Richmond Ave
#16
Staten Island, NY 10314

6210 Northern Blvd
#16
Woodside, NY 11377

6210 Northern Blvd
Woodside, NY 11377

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1487895371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 LIVINGSTON ST",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017000",
            "telephone_number": "718-855-7707",
            "fax_number": "718-855-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 LIVINGSTON ST",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017000",
            "telephone_number": "718-855-7707",
            "fax_number": "718-855-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSHARE WELLNESS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRE",
        "authorized_official_first_name": "JUDE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "718-855-7707",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "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 Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.