Individual provider Active NPI

McKenzie Caroline Middlebrooks, CNM

  • Midwife
  • New Hyde Park, NY
National Provider Identifier
1013731405
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
002359 Issued in NY
Practice address
3333 New Hyde Park Rd Ste 100
New Hyde Park, NY 11042-1205
Phone
(516) 439-5300
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 002359 NY Primary

Addresses

Primary practice location

3333 New Hyde Park Rd Ste 100
New Hyde Park, NY 11042-1205

Mailing address

378 Baltic St Apt 3B
Brooklyn, NY 11201-6594
Phone (334) 657-1342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310001612 NY Practitioner - Physician Assistant 2567945496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Nsuh Plainview Physicians Ufp Corporation CurrentSince Jan 31, 2026 Accepting new patients
Bethpage Medical, PLLC PastSince Apr 1, 2009 Accepting new patients

Locations

1575 E 19th St
Brooklyn, NY 11230
Phone (718) 339-3777

123 Maple Ave
Cedarhurst, NY 11516
Phone (516) 295-1300

123 Maple Ave
Ste 100
Cedarhurst, NY 11516
Phone (516) 295-6841

5036 Jericho Tpke
Ste 205
Commack, NY 11725
Phone (631) 385-8000

11241 Queens Blvd
Forest Hills, NY 11375
Phone (347) 321-7911

200 Garden City Plz
Ste 100
Garden City, NY 11530
Phone (516) 414-6900

4150 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 393-1000

3333 New Hyde Park Rd
Ste 100
New Hyde Park, NY 11042
Phone (516) 439-5300

7 W 51st St
Fl 4
New York, NY 10019
Phone (212) 629-2000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1013731405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 BALTIC ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016594",
            "telephone_number": "334-657-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NEW HYDE PARK RD STE 100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421205",
            "telephone_number": "516-439-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEBROOKS",
        "first_name": "MCKENZIE",
        "middle_name": "CAROLINE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "002359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.