Prince Michael Bartholomew, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F337635-1 Issued in NY

Practice address

2807 Kings Hwy
4F
Brooklyn, NY 11229-1860

Phone

(718) 483-4958

NPI assigned

Jul 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD
• Family Nurse Pracittioner Outpatient Services

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1790238673
  NPD (past) Authorized official
• Family Nurse Practitioner Outpatient Services

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1134582984
  NPD (past) Authorized official
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1760890578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 KINGS HWY",
            "address_2": "4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291860",
            "telephone_number": "718-483-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 KINGS HWY",
            "address_2": "4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291860",
            "telephone_number": "718-483-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "PRINCE",
        "middle_name": "MICHAEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337635",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F337635-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Djenane Bartholomew, RN
• Henrietta Bartholomew, RN
• Lincoln E. Bartholomew, M.D.
• Lisa-Gay Bartholomew
• Molly P Bartholomew, LMSW
• Winifred E Bartholomew, MSED
• Sophia Maria Bartlett
• Lorie Ann Bartley, MD
• Violet Bartley
• Jakub Pawel Bartnik, D.O.

• Primary Care Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.