Organization Active NPI

Paschos Carolina Brilata RN PC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Astoria, NY
National Provider Identifier
1497946545
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
489789-1 Issued in NY
Legal business name
PASCHOS CAROLINA BRILATA RN PC
Practice address
2314 Broadway
2F
Astoria, NY 11106-4153
Phone
(718) 956-4740
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Carolina B Paschos, RN
Title
President
Phone
(718) 956-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 489789-1 NY Primary

Addresses

Primary practice location

2314 Broadway
2F
Astoria, NY 11106-4153

Mailing address

2314 Broadway
2F
Astoria, NY 11106-4153
Phone (718) 956-4740

Other identifiers 1

IdentifierTypeStateIssuer
01812220MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1497946545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 BROADWAY",
            "address_2": "2F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064153",
            "telephone_number": "718-956-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 BROADWAY",
            "address_2": "2F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064153",
            "telephone_number": "718-956-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCHOS CAROLINA BRILATA RN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "PASCHOS",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-956-4740",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NY",
            "license": "489789-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01812220",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.