MR. FADOUL BRAHIM (NPI# 1093225740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093225740 |
| Entity Type | Individual |
| Full Name | MR. FADOUL BRAHIM |
| Practice Address |
147 Prince St Brooklyn NY 11201-3007 |
| Mailing Address |
1329 College Ave Apt 5a Bronx NY 10456-1543 |
| Practice Telephone | 7183745949 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY STATE DRIVER'S LICENSE | 643667501 | 01 |
| NY | MV15418U | 05 |
| Street Address |
147 PRINCE ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770943664 | Samantha Dalfen | Psychologist | 147 Prince St, Brooklyn, NY 11201-3022 | 2016-03-04 |
| 1265030639 | Debra Rosenthal | Behavioral Analyst | 147 Prince St, Brooklyn, NY 11201-3022 | 2020-10-16 |
| 1891283511 | Brooklyn Np Community Health, PC | Nurse Practitioner | 147 Prince St, Brooklyn, NY 11201-3007 | 2018-04-27 |
| 1730691452 | Kimberly Melissa Flores | Counselor | 147 Prince St, Brooklyn, NY 11201-3007 | 2017-11-03 |
| 1285151043 | Humberto Ortiz | Peer Specialist | 147 Prince St, Brooklyn, NY 11201-3007 | 2017-08-23 |
| 1760906671 | The Brooklyn Medicine Practice, Pllc | Internal Medicine | 147 Prince St, Brooklyn, NY 11201-3007 | 2017-08-01 |
| 1265961122 | Neila-kay Harrison | Social Worker | 147 Prince St, Brooklyn, NY 11201-3007 | 2017-06-05 |
| 1386172914 | Gilanyi M. Batista | Counselor | 147 Prince St, Brooklyn, NY 11201-3007 | 2017-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1225659923 | Renee S Peterkin | Peer Specialist | 1016 Ralph Ave, Brooklyn, NY 11236-1258 | 2020-05-04 |
| 1639704984 | Henry Smith | Peer Specialist | 236 Fountain Ave, Brooklyn, NY 11208-2516 | 2020-03-06 |
| 1811530595 | Shernold Michaud | Peer Specialist | 195 Montague Steet, Condo Unit K, 8th Floor, Brooklyn, NY 11201-3628 | 2019-10-24 |
| 1316592066 | Felix Alexander Barbour | Peer Specialist | 25 Flatbush Ave Ste 3, Brooklyn, NY 11217-2499 | 2019-08-08 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1093186199 | Isaac Trieger | Peer Specialist | 1118 45th St Apt 1r, Brooklyn, NY 11219-2192 | 2015-10-14 |
| 1447859574 | Lynnedell Felinor | Peer Specialist | 2037 Utica Ave Ste 2, Brooklyn, NY 11234-3234 | 2020-10-20 |
| 1336746098 | Yeimi Felix | Peer Specialist | 1623 Kings Hwy, Brooklyn, NY 11229-1209 | 2020-10-06 |
| 1366057507 | Sean Alexander | Peer Specialist | 25 Flatbush Ave Ste 3, Brooklyn, NY 11217-2499 | 2020-09-14 |
| Find all providers in BROOKLYN | ||||
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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.