NPIMap

Organization Active NPI

Halsey Family Health Nurse Practitioner Services of New York, PC

Doing business as Keran S. Hill

  • Primary Care Clinic/Center
  • Laurelton, NY
National Provider Identifier
1518357375
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
333879 Issued in NY
Legal business name
HALSEY FAMILY HEALTH NURSE PRACTITIONER SERVICES OF NEW YORK, PC
Doing business as
Keran S. Hill
Practice address
13423 229TH St
PVT
Laurelton, NY 11413-2516
Phone
(917) 376-3772
NPI assigned
Feb 2, 2015
Last updated
Feb 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Mrs. Keran Sevenise Hill, FNPNPI 1407917289
Title
Director/Primary Care Provider
Phone
(718) 602-2086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 333879 NY Primary

Addresses

Primary practice location

13423 229TH St
PVT
Laurelton, NY 11413-2516

Mailing address

1086 Broadway
Suite 3-5
Brooklyn, NY 11221-3376
Phone (718) 602-2086

Other identifiers 1

IdentifierTypeStateIssuer
03815327MedicaidNY

Other names 1

  • Keran S. Hill Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1518357375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 BROADWAY",
            "address_2": "SUITE 3-5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213376",
            "telephone_number": "718-602-2086",
            "fax_number": "718-602-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13423 229TH ST",
            "address_2": "PVT",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132516",
            "telephone_number": "917-376-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALSEY FAMILY HEALTH NURSE PRACTITIONER SERVICES OF NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KERAN",
        "authorized_official_middle_name": "SEVENISE",
        "authorized_official_title_or_position": "DIRECTOR/PRIMARY CARE PROVIDER",
        "authorized_official_telephone_number": "718-602-2086",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "333879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03815327",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keran S. Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.