BLUE SPECTRUM FAMILY HEALTH NP PLLC NPI 1194326983

NPI Information

NPI: 1194326983
Provider Name: BLUE SPECTRUM FAMILY HEALTH NP PLLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D2218648

Address:
2 OCEAN DR APT W09F
BROOKLYN, NY
ZIP 11224
Phone: (718) 200-8094
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BLUE SPECTRUM FAMILY HEALTH NP PLLC is a primary care nurse practitioner in Brooklyn, NY. BLUE SPECTRUM FAMILY HEALTH NP PLLC NPI is 1194326983. The provider is registered as an organization entity type.

The provider's business location address is:

2 OCEAN DR APT W09F
BROOKLYN, NY
ZIP 11224-768
Phone: (718) 200-8094
Fax: (718) 228-3868

The provider's authorized official is Juan Carlos Ortiz Calcano .
The authorized official title is Business Owner/family Health Np and has the following contact phone number (718) 200-8094.

The CLIA number assigned to this NPI record is 33D2218648 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2020 and was last updated on 4/25/2024.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QP2300X	Clinic/Center	Primary Care	No
4	261QU0200X	Clinic/Center	Urgent Care	No
5	363LP2300X	Nurse Practitioner	Primary Care	Yes

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: 5/5/2024

NPI Synchronization or Removal

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