Active NPI
Philip Vazquez
- Audiologist
- Brooklyn, NY
National Provider Identifier
1568415958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001233-1
- Practice address
- 142 Joralemon St
Suite 6a
Brooklyn, NY 11201-4709 - Phone
- (718) 875-2159
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001233-1 | NY | Primary |
Addresses
Primary practice location
142 Joralemon St
Suite 6a
Brooklyn, NY 11201-4709
Mailing address
208 Elmwood Ave
Brooklyn, NY 11230-2608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001233-1 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1568415958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 ELMWOOD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112302608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 JORALEMON ST",
"address_2": "SUITE 6A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014709",
"telephone_number": "718-875-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "PHILIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001233-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.