Individual provider Active NPI

Serge L Delbrune, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1043416068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
232482 Issued in NY
Practice address
888 Fountain Avenue
Brooklyn, NY 11208-5997
Phone
(718) 642-2661
Fax
(718) 642-6303
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 232482 NY Primary

Addresses

Primary practice location

888 Fountain Avenue
Brooklyn, NY 11208-5997

Mailing address

41 Nassau Street
Elmont, NY 11003-4333
Phone (516) 616-0375

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190516002982 NY Practitioner - Psychiatry 3971868902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

8045 Winchester Blvd
BLDG 80
Queens Village, NY 11427-2129
Phone (718) 217-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

8045 Winchester Blvd
Bldg 80
Queens Village, NY 11427
Phone (718) 217-4242

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043416068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NASSAU STREET",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034333",
            "telephone_number": "516-616-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 FOUNTAIN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085997",
            "telephone_number": "718-642-2661",
            "fax_number": "718-642-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBRUNE",
        "first_name": "SERGE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "232482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.