Active NPI
Asoa LLC Dba Phullon Care Providers
- Other Specialist/Technologist
- Brooklyn, NY
National Provider Identifier
1609317460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190404000164 | NY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2567703366 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1144248923
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1629420823
-
- Acute Care Clinical Nurse Specialist
- Brooklyn, NY
- NPI 1285353722
-
- Nurse Practitioner
- Brooklyn, NY
- NPI 1801317623
-
- Adult Medicine Physician
- Westbury, NY
- NPI 1336269802
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.