Active NPI
Sheridan Brown, NP
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F308610-1
- Practice address
- 245 5TH Ave FL 3
New York, NY 10016-8728 - Phone
- (917) 261-4414
- Fax
- (917) 261-4420
- NPI assigned
- Jun 12, 2017
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F308610-1 | NY | Primary |
Addresses
Primary practice location
245 5TH Ave FL 3
New York, NY 10016-8728
Mailing address
101 Greenwich St Ste 403
New York, NY 10006-1895
Phone (917) 261-4414
Other practice location 1
530 5th Ave
New York, NY 10036-5101
Phone (917) 261-4414
Other practice location 2
1501 S Clinton St
Baltimore, MD 21224-5730
Phone (917) 261-4414
Other practice location 3
80 Maiden Ln Ste 403
New York, NY 10038-4811
Phone (917) 261-4414
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Columbia University College of Physicians and Surgeons, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1419 Mermaid Ave
Brooklyn, NY 11224-2615
Phone (718) 210-3110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F308610-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Initiatives, Inc. | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| The Trustees of Columbia University in the City of New York | Adult Health | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients |
Locations
1419 Mermaid Ave
Brooklyn, NY 11224
Phone (718) 210-3110
630 W 168th St
New York, NY 10032
Phone (212) 305-1948
622 W 168th St
#4100
New York, NY 10032
Phone (212) 305-5123
622 W 168th St
#14C
New York, NY 10032
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Interoperability endpoints
- https://app.meldrx.com/api/fhir/cybermed_chi
- shb9172@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- sheridan.brown.1@24265.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1033581608
-
- Surgery Physician
- New York, NY
- NPI 1265598783
Adult Health
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1053841189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GREENWICH ST STE 403",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100061895",
"telephone_number": "917-261-4414",
"fax_number": "917-261-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168728",
"telephone_number": "917-261-4414",
"fax_number": "917-261-4420"
}
],
"practiceLocations": [
{
"address_1": "530 5th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100365101",
"country_code": "US",
"telephone_number": "917-261-4414",
"fax_number": "917-261-4420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 S Clinton St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212245730",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Maiden Ln Ste 403",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100384811",
"country_code": "US",
"telephone_number": "917-261-4414",
"fax_number": "917-261-4420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "SHERIDAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F308610-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.