Individual provider Active NPI

Philomene Goueliani

  • Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1891102885
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F337761-1 Issued in NY
Practice address
1805 Pitkin Ave
Brooklyn, NY 11212-7831
Phone
(718) 750-3406
Fax
(718) 709-7581
NPI assigned
Jul 22, 2014
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F337761-1 NY Primary

Addresses

Primary practice location

1805 Pitkin Ave
Brooklyn, NY 11212-7831

Mailing address

1805 Pitkin Ave
Brooklyn, NY 11212-7831
Phone (718) 750-3406

Other practice location 1

1461 E 103rd St
Brooklyn, NY 11236-4513
Phone (718) 750-3406

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
I20181220002033 NY Practitioner - Nurse Practitioner 4385989243 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
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)

1461 E 103Rd St
Brooklyn, NY 11236-4513
Phone (718) 838-8362

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337761NYMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
F337761-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corehealth Medical Care PLLC CurrentSince Jan 25, 2022 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Oct 27, 2018 Accepting new patients
Kings Medical Family Practice PC CurrentSince Jan 30, 2019 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Jul 12, 2024 Accepting new patients
Ag Urgent Care, P.C. CurrentSince Jan 30, 2019 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Feb 9, 2019 Accepting new patients
Brookdale Family Care Center, Inc. Current Accepting new patients
Glory Favor Inc CurrentSince Aug 31, 2020 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Feb 9, 2019 Accepting new patients

Locations

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

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

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

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

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

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

765 Nostrand Ave
Brooklyn, NY 11216
Phone (718) 263-3500

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

19002 Jamaica Ave
Jamaica, NY 11423
Phone (718) 417-0207

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

Networks

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

Organizations & group practices 10

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.

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1891102885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127831",
            "telephone_number": "718-750-3406",
            "fax_number": "718-750-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127831",
            "telephone_number": "718-750-3406",
            "fax_number": "718-709-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1461 E 103rd St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112364513",
            "country_code": "US",
            "telephone_number": "718-750-3406",
            "fax_number": "718-750-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUELIANI",
        "first_name": "PHILOMENE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F337761-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.