Individual provider Active NPI

Wilson Justin Teh, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1689583460
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
709382 Issued in NY
Practice address
2555 E 12TH St Apt 3P
Brooklyn, NY 11235-5034
Phone
(917) 331-6877
NPI assigned
Sep 5, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 709382 NY Primary

Addresses

Primary practice location

2555 E 12TH St Apt 3P
Brooklyn, NY 11235-5034

Mailing address

2555 E 12TH St Apt 3P
Brooklyn, NY 11235-5034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1689583460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 E 12TH ST APT 3P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 12TH ST APT 3P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355034",
            "telephone_number": "917-331-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEH",
        "first_name": "WILSON",
        "middle_name": "JUSTIN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "709382",
            "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 Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.