Individual provider Active NPI

Macklaine M Vielot

  • Case Manager/Care Coordinator
  • Brooklyn, NY
National Provider Identifier
1922354216
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
11024 Issued in NY
Practice address
827 Clarkson Ave
Top Floor
Brooklyn, NY 11203-2256
Phone
(718) 735-7151
NPI assigned
Jul 24, 2012
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1992903736MedicaidNY

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

LicenseStateTypeSpecialty
11024NYMDCase 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.

Verify at the official NPI Registry.