Family Nurse Pracittioner Outpatient Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

F337635 Issued in NY

Legal business name

FAMILY NURSE PRACITTIONER OUTPATIENT SERVICES

Practice address

2807 Kings Hwy
4F
Brooklyn, NY 11229-1860

Phone

(718) 483-4958

Fax

(718) 247-1651

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Prince M Bartholomew, FNP-BCNPI 1760890578

Title

President/Cep

Phone

(718) 483-4958

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Family Nurse Practitioner Outpatient Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Nurse Practitioner Outpatient Services

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1134582984
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prince Michael Bartholomew, FNP

  • Primary Care Nurse Practitioner
  • Brooklyn, NY
  • NPI 1760890578
  NPD (past) Authorized official

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1790238673",
    "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",
            "fax_number": "718-247-1651"
        },
        {
            "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",
            "fax_number": "718-247-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NURSE PRACITTIONER OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEP",
        "authorized_official_telephone_number": "718-483-4958",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "F337635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04058022",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Medical Health Care PLLC
• Family Medical Practice, P.C.
• Family Medical Supply Inc
• Family Medical Supply Inc
• Family Medicine Practice, LLC
• Family Nurse Practitioner Outpatient Services
• Family Optometry P.C
• Family Pharmacy & Surgical Supplies Inc.
• Family Pharmacy Group Inc.
• Family Physical Therapy of Ny, LLP

• Primary Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.