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

NPI Status: Active since April 26, 2022

Contact Information

2525 NOSTRAND AVENUE
APT 2C
BROOKLYN, NY
ZIP 11210
Phone: (917) 907-0797
Fax: (917) 933-4212

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 33D2310858
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 03-26-2027

About VITALS HEALTHCARE SVCS

This page provides the complete NPI Profile along with additional information for Vitals Healthcare Svcs, a provider established in Brooklyn, New York operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1467196402 assigned on April 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Vitals Healthcare Svcs. The authorized official of this NPI record is Ms. Phedre Phara Paulemon Np (Owner)

NPI
1467196402
Provider Legal Name
VITALS HEALTHCARE SVCS
Other Organization Name
VITALS HEALTHCARE SVCS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2525 NOSTRAND AVENUE APT 2C BROOKLYN, NY 11210
Location Phone
(917) 907-0797
Location Fax
(917) 933-4212
Mailing Address
2525 NOSTRAND AVENUE APT 2C BROOKLYN, NY 11210
Mailing Phone
(917) 907-0797
Mailing Fax
(917) 933-4212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2022
Last Update Date
10-19-2023
Code Navigator

A nurse practitioner (NP) like Vitals Healthcare Svcs is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. PHEDRE PHARA PAULEMON NP

Authorized Official Title
OWNER
Authorized Official Phone
(917) 907-0797

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
05401478MEDICAID (05)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2310858
Facility Type
Practitioner Other
Certificate Effective Date
September 11, 2024
Certificate Expiration Date
March 26, 2027
Laboratory Director
PHEDRE P. PAULEMON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Vitals Healthcare Svcs in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467196402, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 2 + 9 + 1 + 2 + 4 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1467196402.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467196402, enumerated as an "organization" on April 26, 2022.

The provider is located at 2525 NOSTRAND AVENUE APT 2C BROOKLYN, NY 11210 and the phone number is (917) 907-0797.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.