PROLIFIC HOME HEALTH ASSESSORS LLC (NPI# 1235762865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235762865 |
Entity Type | Organization |
Organization Name | PROLIFIC HOME HEALTH ASSESSORS LLC |
Practice Address |
1420 Bushwick Ave Rm 154 Brooklyn NY 11207-1422 |
Mailing Address |
796 Thomas S Boyland St Brooklyn NY 11212-4433 |
Practice Telephone | 3479514301 |
Mailing Telephone | 3479514301 |
Enumeration Date | 2020-02-21 |
Last Update Date | 2020-02-21 |
Authorized Official Name | PRISCILLA NNENNA ORJI (MANAGING DIRECTOR) |
Authorized Official Telephone | 3479514301 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
PROLIFIC HOME HEALTH ASSESSORS LLC | Doing Business As Name - Organization |
Street Address |
1420 BUSHWICK AVE RM 154 |
City | BROOKLYN |
State | NY |
Zip Code | 11207-1422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992946008 | Priscilla Nmenna Orji | Registered Nurse | 1420 Bushwick Ave Rm 154, Brooklyn, NY 11207-1422 | 2009-03-19 |
1235767146 | Nnenna Np In Family Health Practice Pllc | Nurse Practitioner | 1420 Bushwick Ave Rm 154, Brooklyn, NY 11207-1422 | 2020-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356817142 | Tajeet Singh | Licensed Practical Nurse | 174 East 51, Brooklyn, NY 11207 | 2018-10-18 |
1801306147 | Ebony Herring | Counselor | 2640 Pitkin Avenue, Brooklyn, NY 11207 | 2017-09-30 |
1780106153 | Ivonne Perry | Registered Nurse | 35 Mc Clancy Pl, Brooklyn, NY 11207 | 2017-07-07 |
1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
1003368333 | Alison Deborah Kahler | Social Worker | 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 | 2016-11-03 |
1942757836 | Melissa Santana | Counselor | Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 | 2016-09-08 |
1871943050 | Joan Murrell | Licensed Practical Nurse | 297 Bradford St, Brooklyn, NY 11207 | 2016-06-17 |
1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
1962877076 | Uche Rosario Oboh | Pharmacist | Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 | 2015-12-01 |
1467837997 | Dhalene Wharton | Licensed Practical Nurse | 540 Shefield Ave, Brooklyn, NY 11207 | 2015-07-27 |
Find all providers in zip 11207 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538281282 | Karen Lazarus | Family Medicine | 25 12th St, Brooklyn, NY 11215-8019 | 2007-04-04 |
1609945815 | Jacquelin Antoine Belamy | Family Medicine | 9613 Flatlands Ave, Brooklyn, NY 11236-3711 | 2006-11-06 |
1528053659 | Oskar Varshavskiy | Family Medicine | 7510 4th Ave, Suite#5, Brooklyn, NY 11209-3244 | 2005-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053921957 | Titan Primary Care, Inc | Family Medicine | 3753 90th St Ste 11, Jackson Heights, NY 11372-7879 | 2020-08-05 |
1205467842 | Tara Healthcare LLC | Family Medicine | 157 Bleecker St # 1, New York, NY 10012-1625 | 2020-02-03 |
1548820608 | Cs Medical Associates, P.C. | Family Medicine | 727 N Broadway Ste B1, Massapequa, NY 11758-2348 | 2019-06-19 |
1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
1881120376 | Yonina Mar | Family Medicine | 10 Nathan D. Perlman Pl, Msbi Psychiatry, Bernstein Pavilion, Room 7b15, New York, NY 10003 | 2017-05-03 |
1457771842 | Gary Demara | Family Medicine | 220 Tom Miller Rd, Plattsburgh, NY 12901-6427 | 2014-04-24 |
1144540022 | Michael James Reardon | Family Medicine | 41 Dunlop Rd, Huntington, NY 11743-3932 | 2010-06-02 |
1710123963 | Fred William Marcus | Family Medicine | 770 Jericho Tpke, Syosset, NY 11791-4516 | 2008-12-17 |
1740447101 | Bernard Charles Borkowski | Family Medicine | 2025 Kenneth Rd, Merrick, NY 11566-5508 | 2008-05-21 |
1023280740 | Charles Pouponneau | Family Medicine | 147-20 Archer Avenue, Jamaica, NY 11435 | 2008-04-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.