Jean Paul Fils

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

28949616128333 Issued in NY

Practice address

21207 102Avenue Apartmentb3 Queens Village
Queens, NY 11429

Phone

(718) 479-3416

Fax

(718) 479-3416

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1528236338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21207 102ND AVE APT B3",
            "address_2": "QUEENS VILLAGE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291103",
            "telephone_number": "718-479-3416",
            "fax_number": "718-479-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21207 102AVENUE APARTMENTB3 QUEENS VILLAGE",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11429",
            "telephone_number": "718-479-3416",
            "fax_number": "718-479-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILS",
        "first_name": "JEAN",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "28949616128333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Queens, NY
• Providers in Queens, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.