Organization Active NPI

Asoa LLC Dba Phullon Care Providers

  • Other Specialist/Technologist
  • Brooklyn, NY
National Provider Identifier
1609317460
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
ASOA LLC DBA PHULLON CARE PROVIDERS
Practice address
2182 Pitkin Ave
Brooklyn, NY 11207-3613
Phone
(718) 215-4011
Fax
(718) 215-4042
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Joy Langford
Title
President
Phone
(718) 571-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

2182 Pitkin Ave
Brooklyn, NY 11207-3613

Mailing address

2182 Pitkin Ave
Brooklyn, NY 11207-3613
Phone (718) 215-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190404000164 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2567703366 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

800 W Main St
Ste 1217
Freehold, NJ 07728
Phone (347) 782-4860

2182 Pitkin Ave
Fl 1
Brooklyn, NY 11207
Phone (718) 215-4011

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1609317460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073613",
            "telephone_number": "718-215-4011",
            "fax_number": "718-215-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073613",
            "telephone_number": "718-215-4011",
            "fax_number": "718-215-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASOA LLC DBA PHULLON CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-571-9177"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.