Victory Family Wellness LLC
NPI 1205559812ActiveOrganization· Nurse Practitioner, Gerontology· Brooklyn, NY
Nurse Practitioner, Gerontology in Brooklyn, New York, registered in NPPES in September 2022. The authorized official on file is Larissa Jerominow, AGPCNP, Owner.
Overview
| NPI | 1205559812 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2022 |
| Last updated in NPPES | Sep 20, 2022 |
| Certified by provider | Sep 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner, Gerontology providers in Brooklyn
- 1427795293
- 1588426431
- 1982982765
- 1568531499
- 1619928678
- 1619093622
- 1396297354
- 1265159958
- 1194770388
- 1043684673
- 1730736729
- 1053363275