Individual provider Active NPI

Nadege Avin, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1881760734
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
303839 Issued in NY
Practice address
1630 E 15TH St FL 3
Choice
Brooklyn, NY 11229-1147
Phone
(718) 724-8869
NPI assigned
Nov 24, 2006
Last updated
Feb 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 303839 NY Primary

Addresses

Primary practice location

1630 E 15TH St FL 3
Choice
Brooklyn, NY 11229-1147

Mailing address

1464 East 71St
Brooklyn, NY 11234-6048
Phone (347) 236-0677

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
I20050519000174 NY Practitioner - Nurse Practitioner 1153362264 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303839NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MJHS Medical Associates CurrentSince May 21, 2019 Accepting new patients
RJ Medical & Urgent Care, PLLC CurrentSince Sep 25, 2023 Accepting new patients

Locations

3335 Neptune Ave
Brooklyn, NY 11224
Phone (718) 683-9824

464 Bay Ridge Ave
Ste A
Brooklyn, NY 11220
Phone (718) 680-6006

55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1798/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nadege.avin.1@24989.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1881760734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 EAST 71ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346048",
            "telephone_number": "347-236-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E 15TH ST FL 3",
            "address_2": "CHOICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291147",
            "telephone_number": "718-724-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIN",
        "first_name": "NADEGE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.