MS. PHEDRE PHARA PAULEMON MSN APRN FNP-C NPI 1376748558

NPI Information

NPI: 1376748558
Provider Name: MS. PHEDRE PHARA PAULEMON, MSN, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2601 OCEAN PKWY
PAGNY
BROOKLYN, NY
ZIP 11235
Phone: (718) 616-5500
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MS. Phedre Phara Paulemon, MSN, APRN, FNP-C is a family nurse practitioner in Brooklyn, NY with 6 years of experience. MS. Phedre Phara Paulemon, MSN, APRN, FNP-C NPI is 1376748558. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2601 OCEAN PKWY
PAGNY
BROOKLYN, NY
ZIP 11235
Phone: (718) 616-5500

The NPI 1376748558 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 10/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2598428	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	343011	NEW YORK	Yes
3	363LF0000X	Nurse Practitioner	Family	12.0095564	CONNECTICUT	No
4	363LP2300X	Nurse Practitioner	Primary Care	343011	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05401478	MEDICAID	NEW YORK
2	83-3096541	MEDICAID	NEW YORK
3	0798935	OTHER	NEW YORK	CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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