SPECTRUM CARE GROUP NPI 1184598583

NPI Information

  • NPI: 1184598583
  • Provider Name: SPECTRUM CARE GROUP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Organization
  • Address: 129 MACDONOUGH ST APT 4R
    BROOKLYN, NY
    ZIP 11216
  • Phone: (718) 541-4132

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NPI Details

SPECTRUM CARE GROUP is an acute care nurse practitioner in Brooklyn, NY. SPECTRUM CARE GROUP NPI is 1184598583. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

129 MACDONOUGH ST APT 4R
BROOKLYN, NY
ZIP 11216-517
Phone: (718) 541-4132

The provider's authorized official is Shalom C Simmons .
The authorized official title is Owner and has the following contact phone number (718) 541-4132.

The enumeration date for this NPI number is 9/30/2025 and was last updated on 10/15/2025.

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
1363LA2100XNurse PractitionerAcute CareYes

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: 11/21/2025

NPI Synchronization or Removal

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