Individual provider Active NPI

Ashlyn Ann Celestine, ANP-BC

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1518226869
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305485 Issued in NY
Practice address
506 6TH St
Brooklyn, NY 11215-3609
Phone
(718) 768-4313
Fax
(718) 768-4324
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305485 NY Primary
Gerontology Nurse Practitioner 363LG0600X F340792 NY

Addresses

Primary practice location

506 6TH St
Brooklyn, NY 11215-3609

Mailing address

757 E 51St St
Brooklyn, NY 11203-5901
Phone (212) 363-0712

Other names 1

  • Ashlyn Ann Morisset Other name

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
I20130502000304 NY Practitioner - Nurse Practitioner 7911144340 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305485NYMDAdult Health Nurse Practitioner
F340792NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ditmas Park Rehabilitation & Care Center LLC CurrentSince May 1, 2012 Accepting new patients
Ditmas Park Rehabilitation & Care Center LLC CurrentSince May 1, 2012 Accepting new patients
Kings Physician Services, PC Past Accepting new patients

Locations

2107 Ditmas Ave
Brooklyn, NY 11226
Phone (718) 207-4348

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: asc9007@direct.nyp.org

Organizations & group practices 3

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1518226869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 E 51ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035901",
            "telephone_number": "212-363-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-768-4313",
            "fax_number": "718-768-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTINE",
        "first_name": "ASHLYN",
        "middle_name": "ANN",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305485",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLYN",
            "last_name": "MORISSET",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.