Individual provider Active NPI

Erica Koleosho

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1801253240
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339958-1 Issued in NY
Practice address
1227 E 56TH St
Brooklyn, NY 11234-3329
Phone
(718) 344-5082
NPI assigned
Jan 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339958-1 NY Primary

Addresses

Primary practice location

1227 E 56TH St
Brooklyn, NY 11234-3329

Mailing address

1227 E 56TH St
Brooklyn, NY 11234-3329

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170403000553 NY Practitioner - Nurse Practitioner 3375828437 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
339958-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince Feb 25, 2017 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Feb 25, 2017 Accepting new patients
Kings Medical Family Practice PC CurrentSince Jan 30, 2019 Accepting new patients
Ag Urgent Care, P.C. CurrentSince Jan 30, 2019 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Apr 28, 2024 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1235 Linden Blvd
Fl 1
Brooklyn, NY 11212
Phone (718) 975-8368

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

4809 Avenue N
Brooklyn, NY 11234
Phone (718) 252-4120

1295 Broadway
Brooklyn, NY 11221
Phone (718) 682-3903

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

16814 Jamaica Ave
Jamaica, NY 11432
Phone (718) 650-5553

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: erica.koleosho.1@24989.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1801253240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 E 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343329",
            "telephone_number": "718-344-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLEOSHO",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339958-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.