Jerry Arraut
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Brooklyn, NY
NPI 1033728449 · NPPES record last updated Jun 1, 2025
Key facts
- NPI
- 1033728449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 450 Clarkson Ave
Brooklyn, NY 11203-2012 - Phone
- (516) 562-2461
- NPI assigned
- Jul 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240905004166 | NY | Practitioner - General Practice | 1658811534 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current |
Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current |
Accepting new patients | |
| Essen Medical Associates,PC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Brookview Medical Associates, PLLC | General Practice | Current |
Accepting new patients |
Locations
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 331512 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
450 Clarkson Ave
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Ave
Brooklyn, NY 11203-2012
Other providers in Brooklyn, NY
- Arp Psychological Services PC
- Pauline Arquero-Canlas
- Almira Creshia Arquero
- Bonnie Arquilla
- Nicole Arrabito
- Denise Arredondo
- Adrian Charles Arreola
- Erialis Arriaga
- Nancy Arriaga
- Paola L Arriaga
All providers in Brooklyn, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.