Individual provider Active NPI

Latoya George, NURSE PRACTITIONER

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1518739366
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F405423-01 Issued in NY
Practice address
1623 Flatbush Ave
Brooklyn, NY 11210-3262
Phone
(347) 423-2158
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 648913 NY
Psychiatry Physician 2084P0800X F405423-01 NY Primary

Addresses

Primary practice location

1623 Flatbush Ave
Brooklyn, NY 11210-3262

Mailing address

5719 Avenue N PH
Brooklyn, NY 11234-4026
Phone (347) 423-2158

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
I20240322002695 NY Practitioner - Nurse Practitioner 1355788506 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interborough Developmental and Consultation Center IncGroup PAC ID 7911898192, 167 clinicians

Practice addresses (Care Compare)

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
648913NYMDPsychiatry Physician
F405423-01NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatry CurrentSince Feb 19, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. Psychiatry CurrentSince Apr 17, 2024 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Apr 17, 2024 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients

Locations

191 Joralemon St
Fl 11
Brooklyn, NY 11201

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 5

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1518739366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5719 AVENUE N PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344026",
            "telephone_number": "347-423-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103262",
            "telephone_number": "347-423-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LATOYA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "648913",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "F405423-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.