Naomi Indich, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

38382596 Issued in NY

Practice address

1000 Ocean Pkwy
Apt 2H
Brooklyn, NY 11230-3425

Phone

(773) 991-8393

NPI assigned

Dec 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1780049452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OCEAN PKWY APT 2H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303410",
            "telephone_number": "773-991-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OCEAN PKWY",
            "address_2": "APT 2H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303425",
            "telephone_number": "773-991-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDICH",
        "first_name": "NAOMI",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "38382596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Living Association, Inc.
• Independent Living Facilitators
• Independent PT Care PC
• Independent Success
• Judith Indich, CCC - SLP
• Michael Indig
• Indigo Kids, Inc
• Indigo Planet Inc.
• Individual
• Individual and Family Social Work Couseling

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.