Active NPI
Wylene Barton Samad, NP
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1689014292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F339305-1
- Practice address
- 1350 Greene Ave FL 2
Brooklyn, NY 11237-4902 - Phone
- (718) 628-1407
- NPI assigned
- Jun 27, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F339305-1 | NY | Primary |
Addresses
Primary practice location
1350 Greene Ave FL 2
Brooklyn, NY 11237-4902
Mailing address
1350 Greene Ave FL 2
Brooklyn, NY 11237-4902
Phone (718) 628-1407
Other practice location 1
6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081
Phone (718) 238-2100
Other names 1
- Wylene Barton
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F339305-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greene Avenue Medical, PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AADABA/Endpoint/AADABA
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1811431323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1689014292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 GREENE AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374902",
"telephone_number": "718-628-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 GREENE AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374902",
"telephone_number": "718-628-1407"
}
],
"practiceLocations": [
{
"address_1": "6010 Bay Pkwy Ste 901",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112046081",
"country_code": "US",
"telephone_number": "718-238-2100",
"fax_number": "718-748-0863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMAD",
"first_name": "WYLENE",
"middle_name": "BARTON",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F339305-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WYLENE",
"last_name": "BARTON",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}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 Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.