Brooklyn NP Community Health, PC

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

320069F Issued in NY

Legal business name

BROOKLYN NP COMMUNITY HEALTH, PC

Practice address

147 Prince St
Brooklyn, NY 11201-3007

Phone

(631) 533-5579

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Blair

Title

Business Manager

Phone

(631) 533-5579

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1891283511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PRINCE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013007",
            "telephone_number": "631-533-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PRINCE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013007",
            "telephone_number": "631-533-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN NP COMMUNITY HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "631-533-5579",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NY",
            "license": "320069F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.