J MONTELUS NURSE PRACTITIONER IN ADULT HEALTH PC


Address: 1674 Brooklyn Ave, Brooklyn, NY 11210-3427
Phone: 5166616274

J MONTELUS NURSE PRACTITIONER IN ADULT HEALTH PC (NPI# 1073149456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073149456
Entity Type Organization
Organization Name J MONTELUS NURSE PRACTITIONER IN ADULT HEALTH PC
Practice Address 1674 Brooklyn Ave
Brooklyn
NY 11210-3427
Practice Telephone 5166616274
Mailing Telephone 5166616274
Enumeration Date 2020-03-18
Last Update Date 2020-03-18
Authorized Official Name JOSELLE MONTELUS (NURSE PRACTIONER/PRESIDENT)
Authorized Official Telephone 5166616274
Authorized Official Credential DNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Office Location

Street Address 1674 BROOKLYN AVE
City BROOKLYN
State NY
Zip Code 11210-3427

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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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1073560140 City of New York Office of Payroll Administration Clinic/Center 1601 Ave, Nycdohmh Homecrest Dhc, Brooklyn, NY 11229-2920 2006-05-27
1023064136 City of New York Office of Payroll Administration Clinic/Center 151 Maujer Street, Nycdohmh Williamsburg Dhc, Brooklyn, NY 11101 2006-05-26
1912953035 City of New York Office of Payroll Administration Clinic/Center 335 Central Ave Nycdohmh Bushwick Dhc, Brooklyn, NY 11221-4501 2006-05-26
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Competitor

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City BROOKLYN
Zip Code 11210

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Dataset Information

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.

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