Organization Active NPI

Innovative Care, NP in Family Health, PLLC

  • Primary Care Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1982468401
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
INNOVATIVE CARE, NP IN FAMILY HEALTH, PLLC
Practice address
1712 Nostrand Ave
Brooklyn, NY 11226-6408
Phone
(917) 239-3094
Fax
(718) 287-4600
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Jeanne E Vilsaint, FNP-BC
Title
Owner
Phone
(917) 239-3094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1712 Nostrand Ave
Brooklyn, NY 11226-6408

Mailing address

1712 Nostrand Ave
Brooklyn, NY 11226-6408
Phone (917) 239-3094

Other names 1

  • Innovative Care, NP In Family Health, PLLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2317365Innovative Care NP in Family Health PLLC1712 Nostrand Ave, Brooklyn, NY 11226Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory

Locations

1712 Nostrand Ave
Brooklyn, NY 11226
Phone (917) 239-3094

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1982468401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266408",
            "telephone_number": "917-239-3094",
            "fax_number": "718-287-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266408",
            "telephone_number": "917-239-3094",
            "fax_number": "718-287-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE, NP IN FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "VILSAINT",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-239-3094",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Care, NP In Family Health, PLLC",
            "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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.