Active NPI
Christine M Brosnan
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1013679257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 800 Van Siclen Ave
Brooklyn, NY 11207-7805 - Phone
- (347) 471-2700
- NPI assigned
- Oct 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
800 Van Siclen Ave
Brooklyn, NY 11207-7805
Mailing address
7416 85TH Rd
Woodhaven, NY 11421-1012
Phone (347) 707-0312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JYQ27138J01 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbrosnan2@student.touro.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1013679257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7416 85TH RD",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114211012",
"telephone_number": "347-707-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 VAN SICLEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112077805",
"telephone_number": "347-471-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSNAN",
"first_name": "CHRISTINE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JYQ27138J01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbrosnan2@student.touro.edu",
"affiliation": "N",
"address_1": "7416 85th Rd",
"city": "Woodhaven",
"state": "NY",
"country_code": "US",
"postal_code": "114211012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.