Active NPI
Vitals Healthcare SVCS
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1902542913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Phedre Phara Paulemon, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3886122 | Other | NY | AETNA |
| F343011-C1D | Other | NY | HEALTHFIRST |
| 835995 | Other | NY | ANTHEM BC/BS |
| 05401478 | Medicaid | NY | |
| P0569292 | Other | NY | ELDERPLAN |
| 241008000231 | Other | NY | FIDELIS |
| 798935 | Other | NY | CIGNA |
Other names 2
- VITALS HEALTHCARE SERVICES
- VITALS HEALTHCARE SVCS
National Provider Directory
National Provider Directory- Tax ID family
- Vitals Healthcare Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1467196402
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Brooklyn, NY
- NPI 1376748558
Single Specialty
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.