Active NPI
Fen He
- Women's Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1982239380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F421405-01
- Practice address
- 730 58TH St
Brooklyn, NY 11220-3917 - Phone
- (718) 567-8811
- Fax
- (347) 243-8190
- NPI assigned
- Mar 5, 2020
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F421405-01 | NY | Primary |
Addresses
Primary practice location
730 58TH St
Brooklyn, NY 11220-3917
Mailing address
730 58TH St
Brooklyn, NY 11220-3917
Phone (718) 567-8811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F421405-01 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Brooklyn | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| F421405-01 | NY | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1982239380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 58TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203917",
"telephone_number": "718-567-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 58TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203917",
"telephone_number": "718-567-8811",
"fax_number": "347-243-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HE",
"first_name": "FEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F421405-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F421405-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Brooklyn",
"affiliation": "N",
"endpointDescription": "Trustcare",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "730 58th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112203917",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.