Individual provider Active NPI

Violet E. Peart

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1609945799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002740-1 Issued in NY
Practice address
2094 Pitkin Ave
Brooklyn, NY 11207-3509
Phone
(718) 240-0560
Fax
(718) 240-0564
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 002740-1 NY Primary

Addresses

Primary practice location

2094 Pitkin Ave
Brooklyn, NY 11207-3509

Mailing address

263 Berriman St
Brooklyn, NY 11208-2341
Phone (718) 235-9455

Other identifiers 1

IdentifierTypeStateIssuer
002740-1OtherNYNYS LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002740-1NYMDAthletic Trainer
002740NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609945799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 BERRIMAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082341",
            "telephone_number": "718-235-9455",
            "fax_number": "718-277-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073509",
            "telephone_number": "718-240-0560",
            "fax_number": "718-240-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEART",
        "first_name": "VIOLET",
        "middle_name": "E.",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002740-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS  LICENSE NUMBER",
            "identifier": "002740-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.