Organization Active NPI

Larimar Family NP Services, PLLC

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1760921712
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
TF4601401 Issued in NY
Legal business name
LARIMAR FAMILY NP SERVICES, PLLC
Practice address
173 Bay 13TH St
Brooklyn, NY 11214-5805
Phone
(718) 496-9946
NPI assigned
Feb 22, 2017
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Maria Evola, NPNPI 1689765109
Title
NP/President
Phone
(718) 496-9946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X TF4601401 NY Primary

Addresses

Primary practice location

173 Bay 13TH St
Brooklyn, NY 11214-5805

Mailing address

173 Bay 13TH St
Brooklyn, NY 11214-5805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180111000390 NY Part B Supplier - Clinic/Group Practice 6103185558 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

4 Highlawn Ave
Brooklyn, NY 11223
Phone (646) 801-3772

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1760921712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 BAY 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 BAY 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145805",
            "telephone_number": "718-496-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARIMAR FAMILY NP SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "EVOLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "NP/PRESIDENT",
        "authorized_official_telephone_number": "718-496-9946",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "TF4601401",
            "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 Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.