Active NPI
Steven M Emmett, DO
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1033189030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 103132
- Practice address
- 3104 Quentin Road
Brooklyn, NY 11234-4209 - Phone
- (718) 339-5544
- Fax
- (718) 339-4892
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 103132 | NY | Primary |
Addresses
Primary practice location
3104 Quentin Road
Brooklyn, NY 11234-4209
Mailing address
3104 Quentin Road
Brooklyn, NY 11234-4209
Phone (718) 339-5544
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101031 | Other | US HEALTH CARE | |
| 4060662 | Other | AETNA | |
| 512791 | Other | BLUE CROSS | |
| 970853 | Other | HERITAGE | |
| 0381855 | Other | CIGNA | |
| P963767 | Other | OXFORD | |
| 1201394 | Other | UNITED HEALTH CARE | |
| OP147 | Other | HIP |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103132 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmett Pediatric Associates | Pediatrics | Current | Accepting new patients |
| DRS Steven M Emmett and Boris Kogan Partners | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1750037412
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1750464509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033189030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 QUENTIN ROAD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344209",
"telephone_number": "718-339-5544",
"fax_number": "718-339-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 QUENTIN ROAD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344209",
"telephone_number": "718-339-5544",
"fax_number": "718-339-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMETT",
"first_name": "STEVEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "103132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH CARE",
"identifier": "101031",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4060662",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "512791",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HERITAGE",
"identifier": "970853",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0381855",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P963767",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1201394",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "OP147",
"state": null
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.