VITALS HEALTHCARE SVCS
NPI 1902542913
Nurse Practitioner - Family in Brooklyn, NY

NPI Status: Active since May 11, 2022

Contact Information

375 LINDEN BLVD
BROOKLYN, NY
ZIP 11203
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 1902542913 assigned on May 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Ms. Phedre Phara Paulemon Np (Np/owner)

NPI
1902542913
Provider Legal Name
VITALS HEALTHCARE SVCS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
375 LINDEN BLVD BROOKLYN, NY 11203
Location Phone
(917) 907-0797
Location Fax
(917) 933-4212
Mailing Address
375 LINDEN BLVD BROOKLYN, NY 11203
Mailing Phone
(917) 907-0797
Mailing Fax
(917) 933-4212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2022
Last Update Date
09-16-2025
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

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

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.

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
NP/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
3886122OTHER (01)NYAETNA
F343011-C1DOTHER (01)NYHEALTHFIRST
835995OTHER (01)NYANTHEM BC/BS
05401478MEDICAID (05)NY 
P0569292OTHER (01)NYELDERPLAN
241008000231OTHER (01)NYFIDELIS
798935OTHER (01)NYCIGNA

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 1902542913, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 0 → 0 5 → 10 → 1 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 1 + 0 + 4 + 4 + 9 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1902542913.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Primary Care)
375 LINDEN BLVD
BROOKLYN, NY 11203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902542913, enumerated as an "organization" on May 11, 2022.

The provider is located at 375 LINDEN BLVD BROOKLYN, NY 11203 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: Aetna, Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.