Active NPI
Paschos Carolina Brilata RN PC
- Child Intellectual and/or Developmental Disabilities Respite Care
- Astoria, NY
National Provider Identifier
1497946545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- License
- 489789-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01812220 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.