Eddy Jacques Vincent, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

133188 Issued in NY

Practice address

224 New York Ave
Brooklyn, NY 11216-4067

Phone

(718) 493-6964

Fax

(718) 493-6968

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eddy J Vincent, Physician, PC

  • Specialist
  • Brooklyn, NY
  • NPI 1194961870
  Authorized official Same address or phone
• Eddy J. Vincent Physician,P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1366989790
  Authorized official Same address or phone

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750425419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164067",
            "telephone_number": "718-493-6964",
            "fax_number": "718-493-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164067",
            "telephone_number": "718-493-6964",
            "fax_number": "718-493-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "EDDY",
        "middle_name": "JACQUES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "133188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "112963038",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Miliza Vinas, MD
• Vincent D. Pacella
• Vincent J. Nunziata DC, PC
• Vincent Rovito
• Cassandra Vincent, LMSW
• Edris Vincent, RPH
• Geraldine Vincent
• Lauren Vincent
• Lyse L Vincent
• Miriam Vincent, MD

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.