Individual provider Active NPI

Camilla Victoria Adlawan, NP

  • Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1689403172
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
352067 Issued in NY
Practice address
7404 5TH Ave
Brooklyn, NY 11209-2704
Phone
(929) 415-8856
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 352067 NY Primary

Addresses

Primary practice location

7404 5TH Ave
Brooklyn, NY 11209-2704

Mailing address

7404 5TH Ave
Brooklyn, NY 11209-2704

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
I20250820002934 NY Practitioner - Nurse Practitioner 8921508441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Allergy Asthma and Immunology PCGroup PAC ID 6507127750, 12 clinicians

Practice addresses (Care Compare)

2084 E 67TH St
Brooklyn, NY 11234-6008
Phone (718) 444-8014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Allergy Asthma & Immunology PC CurrentSince Jul 30, 2025 Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients

Locations

2084 E 67th St
Brooklyn, NY 11234
Phone (718) 444-8014

560 Northern Blvd
Ste 104
Great Neck, NY 11021
Phone (516) 466-3266

120 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 474-0444

575 Underhill Blvd
Ste 175
Syosset, NY 11791
Phone (516) 704-7004

Organizations & group practices 2

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1689403172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "929-415-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLAWAN",
        "first_name": "CAMILLA",
        "middle_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "352067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.