Active NPI
Nadhia Celestin, M.D.
- Family Medicine Physician
- Gouverneur, NY
National Provider Identifier
1861525909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 219252
- Practice address
- 77 W Barney St
Gouverneur, NY 13642-1040 - Phone
- (315) 287-4440
- Fax
- (315) 287-1858
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 219252 | NY | Primary |
Addresses
Primary practice location
77 W Barney St
Gouverneur, NY 13642-1040
Mailing address
592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone (718) 345-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02350329 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownsville Community Development Corporation | Current | Accepting new patients | |
| Elite Premier Medical Care LLC | Family Medicine | Past | Accepting new patients |
| Revoredo Medical Affiliates LLC | Family Medicine | Past | Accepting new patients |
Locations
592 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 345-5000
Interoperability endpoints
- ncelestin1435980@nychhc.direct-ci.com
- https://fhir4.healow.com/fhir/r4/FAJEDD
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1275722340
-
- Family Medicine Physician
- Paterson, NJ
- NPI 1609144005
-
- Family Medicine Physician
- Paterson, NJ
- NPI 1881927358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545609600000",
"number": "1861525909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 ROCKAWAY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125539",
"telephone_number": "718-345-5000",
"fax_number": "718-345-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W BARNEY ST",
"city": "GOUVERNEUR",
"state": "NY",
"postal_code": "136421040",
"telephone_number": "315-287-4440",
"fax_number": "315-287-1858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELESTIN",
"first_name": "NADHIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2018-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "219252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02350329",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gouverneur, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.