1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Nurse Practitioner
  6. NPI Profile

VICTORY FAMILY WELLNESS LLC
NPI 1205559812
Nurse Practitioner - Gerontology in Brooklyn, NY

Active since September 20, 2022
1812 QUENTIN RD STE M2, BROOKLYN, NY 11229(347) 443-3707(917) 791-9110 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victory Family Wellness Llc NPPES

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

VICTORY FAMILY WELLNESS LLC (NPI 1205559812) is a healthcare organization registered as a gerontology in Brooklyn, New York and active in the NPI registry since September 2022. The organization lists Larissa Jerominow, Owner, as its authorized official.

NPPES Registry Identity

NPI1205559812
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameVICTORY FAMILY WELLNESS LLC
Location Address1812 QUENTIN RD STE M2Brooklyn, NY 11229-1336
Mailing Address1812 Quentin Rd Ste M2Brooklyn, NY 11229-1336 · (347) 443-3707 · Fax (917) 791-9110
Phone(347) 443-3707
Fax(917) 791-9110
Organization SubpartNo
Authorized OfficialLarissa JerominowOwner · (347) 443-3707
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1205559812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
1812 QUENTIN RD STE M2, Brooklyn, NY 11229
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Victory Family Wellness LLC's NPI number?

The NPI number for Victory Family Wellness LLC is 1205559812. It was assigned to this organization in the NPPES registry on September 20, 2022.

Where is Victory Family Wellness LLC located?

Victory Family Wellness LLC is located at 1812 Quentin Rd Ste M2, Brooklyn, NY 11229. The listed phone number is (347) 443-3707.

What is Victory Family Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Victory Family Wellness LLC was last updated on September 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.