Organization Active NPI

Vitals Healthcare SVCS

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1902542913
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VITALS HEALTHCARE SVCS
Doing business as
VITALS HEALTHCARE SERVICES
VITALS HEALTHCARE SVCS
Practice address
375 Linden Blvd
Brooklyn, NY 11203-2709
Phone
(917) 907-0797
Fax
(917) 933-4212
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Ms. Phedre Phara Paulemon, NPNPI 1376748558
Title
NP/Owner
Phone
(917) 907-0797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

375 Linden Blvd
Brooklyn, NY 11203-2709

Mailing address

375 Linden Blvd
Brooklyn, NY 11203-2709
Phone (917) 907-0797

Other identifiers 7

IdentifierTypeStateIssuer
3886122OtherNYAETNA
F343011-C1DOtherNYHEALTHFIRST
835995OtherNYANTHEM BC/BS
05401478MedicaidNY
P0569292OtherNYELDERPLAN
241008000231OtherNYFIDELIS
798935OtherNYCIGNA

Other names 2

  • VITALS HEALTHCARE SERVICES Doing business as
  • VITALS HEALTHCARE SVCS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vitals Healthcare Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1902542913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032709",
            "telephone_number": "917-907-0797",
            "fax_number": "718-540-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032709",
            "telephone_number": "917-907-0797",
            "fax_number": "917-933-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALS HEALTHCARE SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "PAULEMON",
        "authorized_official_first_name": "PHEDRE",
        "authorized_official_middle_name": "PHARA",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "917-907-0797",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3886122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "F343011-C1D",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "835995",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05401478",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "P0569292",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "241008000231",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "798935",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITALS HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VITALS HEALTHCARE SVCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.