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MR. PHOENIX PADMORE
NPI 1124810098
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 19, 2025
921 E NEW YORK AVE, BROOKLYN, NY 11203(718) 778-0485 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2025, May 19, 2025 (2 updates tracked since 2025).

About Mr. Phoenix Padmore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PHOENIX PADMORE (NPI 1124810098) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1124810098
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. PHOENIX PADMORE
Location Address921 E NEW YORK AVEBrooklyn, NY 11203-1393
Mailing Address2184 Fulton St Apt 4aBrooklyn, NY 11233-3362 · (929) 313-4043
Phone(718) 778-0485
Sole ProprietorNo
Enumeration DateMay 19, 2025
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1124810098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
921 E NEW YORK AVE, Brooklyn, NY 11203
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIN RHODES OTR L
Occupational Therapist
921 E NEW YORK AVE
BROOKLYN, NY 11203
Kings County (718) 778-8587
DANNY BURUCA
Peer Specialist
921 E NEW YORK AVE
BROOKLYN, NY 11203
Kings County (718) 778-0485
PRECIOUS REID
Counselor (Mental Health)
921 E NEW YORK AVE
BROOKLYN, NY 11203
Kings County (718) 778-0485
MS. ELAINE A KERNER LPTA
Physical Therapy Assistant
921 E NEW YORK AVE
BROOKLYN, NY 11203
Kings County (718) 778-8587
MOHINI BHARGAVA
Social Worker
921 E NEW YORK AVE
BROOKLYN, NY 11203
Kings County (718) 778-0485
PENINA KOHANTEB
Social Worker
921 E NEW YORK AVE
BROOKLYN, NY 11203
Kings County (718) 778-0485
MS. ALYSSA D ALEXANDER
Counselor (Mental Health)
921 E NEW YORK AVE
BROOKLYN, NY 11203
Kings County (718) 778-0485
MISS BRIANA NICOLE MANGONE CASAC-G ADVANCED
Counselor (Addiction (Substance Use Disorder))
921 E NEW YORK AVE
BROOKLYN, NY 11203
Kings County (718) 684-7774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Padmore's NPI number?

The NPI number for Phoenix Padmore is 1124810098. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Phoenix Padmore located?

Phoenix Padmore practices at 921 E New York Ave, Brooklyn, NY 11203. The listed phone number is (718) 778-0485.

What is Phoenix Padmore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Phoenix Padmore was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.