Active NPI
Macklaine M Vielot
- Case Manager/Care Coordinator
- Brooklyn, NY
National Provider Identifier
1922354216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 11024
- Practice address
- 827 Clarkson Ave
Top Floor
Brooklyn, NY 11203-2256 - Phone
- (718) 735-7151
- NPI assigned
- Jul 24, 2012
- Last updated
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 11024 | NY | Primary |
Addresses
Primary practice location
827 Clarkson Ave
Top Floor
Brooklyn, NY 11203-2256
Mailing address
2855 Ocean Ave
2F
Brooklyn, NY 11235-3165
Phone (718) 877-6914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992903736 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11024 | NY | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1922354216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 OCEAN AVE",
"address_2": "2F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353165",
"telephone_number": "718-877-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 CLARKSON AVE",
"address_2": "TOP FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032256",
"telephone_number": "718-735-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIELOT",
"first_name": "MACKLAINE",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": "11024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992903736",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.