Active NPI
Carmen Rose Christian, REGISTERED NURSE
- Skilled Nursing Facility
- Brooklyn, NY
National Provider Identifier
1760796437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 504304
- Practice address
- 1319 E 91St St
Brooklyn, NY 11236-4213 - Phone
- (718) 444-9861
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 504304 | NY | |
| Custodial Care Facility | 311Z00000X | 504304 | NY | |
| Adult Care Home Facility | 311ZA0620X | 504304 | NY | |
| Skilled Nursing Facility | 314000000X | 504304 | NY | Primary |
| Pediatric Skilled Nursing Facility | 3140N1450X |
Addresses
Primary practice location
1319 E 91St St
Brooklyn, NY 11236-4213
Mailing address
1319 East 91St Street
Brooklym, NEW YORK 11236
AM
Phone (718) 444-9861
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 504304 | NY | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1760796437",
"addresses": [
{
"country_code": "AM",
"country_name": "Armenia",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1319 EAST 91ST STREET",
"city": "BROOKLYM",
"state": "NEW YORK",
"postal_code": "11236",
"telephone_number": "718-444-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 E 91ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364213",
"telephone_number": "718-444-9861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "CARMEN",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NY",
"license": "504304",
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "NY",
"license": "504304",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NY",
"license": "504304",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "504304",
"primary": true
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.