Provider Type Icon

VITALS HEALTHCARE SVCS NPI 1467196402


NPI Information

NPI: 1467196402
Provider Name: VITALS HEALTHCARE SVCS

Other Name: VITALS HEALTHCARE SVCS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2525 NOSTRAND AVENUE
APT 2C
BROOKLYN, NY
ZIP 11210
Phone: (917) 907-0797
Get Directions

VITALS HEALTHCARE SVCS is a family nurse practitioner in Brooklyn, NY. VITALS HEALTHCARE SVCS NPI is 1467196402. The provider is registered as an organization entity type.
The provider Other Name Is Vitals Healthcare Svcs.

The provider's business location address is:

2525 NOSTRAND AVENUE
APT 2C
BROOKLYN, NY
ZIP 11210-715
Phone: (917) 907-0797
Fax: (917) 933-4212

The provider's authorized official is Phedre Phara Paulemon .
The authorized official title is Owner and has the following contact phone number (917) 907-0797.

The enumeration date for this NPI number is 4/26/2022 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceNo
2363LF0000XNurse PractitionerFamilyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105401478MEDICAIDNEW YORK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.