Individual provider Active NPI

Nathalie Vil, RPA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1609094606
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011177 Issued in NY
Practice address
187 Conklin Ave
Brooklyn, NY 11236-3727
Phone
(718) 408-4949
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011177 NY Primary

Addresses

Primary practice location

187 Conklin Ave
Brooklyn, NY 11236-3727

Mailing address

605 E 82ND St
Apt. 1
Brooklyn, NY 11236-3305
Phone (718) 753-2409

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
I20070813000138 NY Practitioner - Physician Assistant 3173614609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, New York, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

5002 Flatlands Ave
Brooklyn, NY 11234-2223
Phone (718) 971-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011177NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Jan 1, 2026 Accepting new patients
Bimc Faculty Practice Physician Assistant Past Accepting new patients
Beth Israel Medical Center Physician Assistant Past Accepting new patients

Locations

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

391 Eastern Pkwy
Brooklyn, NY 11216
Phone (718) 613-1600

5002 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 971-1944

Interoperability endpoints

  • Direct secure messaging: nathalie.vil.1@4669.direct.athenahealth.com
  • Direct secure messaging: nvil@pgs.gwaydirect.com

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1609094606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E 82ND ST",
            "address_2": "APT. 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363305",
            "telephone_number": "718-753-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 CONKLIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363727",
            "telephone_number": "718-408-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIL",
        "first_name": "NATHALIE",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.