Active NPI
Shenez Brutus
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1023656147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F341293
- Practice address
- Suny Downstate College of Nursing
450 Clarkson Avenue
Brooklyn, NY 11203 - Phone
- (718) 270-7600
- NPI assigned
- Dec 19, 2019
- Last updated
- Dec 19, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F341293 | NY | Primary |
Addresses
Primary practice location
Suny Downstate College of Nursing
450 Clarkson Avenue
Brooklyn, NY 11203
Mailing address
Suny Downstate College of Nursing
450 Clarkson Avenue
Brooklyn, NY 11203
Phone (718) 270-7600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240119003268 | NY | Order and Referring Only - Nurse Practitioner | 0648622126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F341293 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- shenez.brutus.1@24989.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1023656147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUNY DOWNSTATE COLLEGE OF NURSING",
"address_2": "450 CLARKSON AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-270-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUNY DOWNSTATE COLLEGE OF NURSING",
"address_2": "450 CLARKSON AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-270-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUTUS",
"first_name": "SHENEZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F341293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.