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VITALS HEALTHCARE SVCS
NPI 1467196402
Nurse Practitioner - Family in Brooklyn, NY

Active since April 26, 2022CLIA 33D2310858 · Microscopy
2525 NOSTRAND AVENUE, APT 2C, BROOKLYN, NY 11210(917) 907-0797(917) 933-4212 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2023, Apr 26, 2022 (2 updates tracked since 2022).

About Vitals Healthcare Svcs NPPES

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

VITALS HEALTHCARE SVCS (NPI 1467196402) is a healthcare organization registered as a family in Brooklyn, New York and active in the NPI registry since April 2022. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Phedre Phara Paulemon, Owner, as its authorized official.

NPPES Registry Identity

NPI1467196402
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITALS HEALTHCARE SVCS
Location Address2525 NOSTRAND AVENUE, APT 2CBrooklyn, NY 11210-4715
Mailing Address2525 Nostrand Avenue Apt 2cBrooklyn, NY 11210-4715 · (917) 907-0797 · Fax (917) 933-4212
Phone(917) 907-0797
Fax(917) 933-4212
Organization SubpartNo
Authorized OfficialPhedre Phara PaulemonOwner · (917) 907-0797
Enumeration DateApril 26, 2022
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1467196402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
2525 NOSTRAND AVENUE, Brooklyn, NY 11210
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Other Names 1

Other NameVitals Healthcare Svcs

Other Identifiers 1

Medicaid05401478NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2310858

Phedre Phara Paule Dba Vitals Healthcare Services · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2310858
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorPhedre P. Paulemon
Laboratory Phone(917) 907-0797
Laboratory LocationPhedre Phara Paule Dba Vitals Healthcare Services375 Linden Blvd - 1st Fl, Brooklyn, NY 11203
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Vitals Healthcare Svcs's NPI number?

The NPI number for Vitals Healthcare Svcs is 1467196402. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is Vitals Healthcare Svcs located?

Vitals Healthcare Svcs is located at 2525 Nostrand Avenue Apt 2C, Brooklyn, NY 11210. The listed phone number is (917) 907-0797.

What is Vitals Healthcare Svcs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Vitals Healthcare Svcs hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2310858) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitals Healthcare Svcs was last updated on October 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.