John M Brown, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

25MA04033100 Issued in NJ

Practice address

185 Roseberry St
Warren Hospital
Phillipsburg, NJ 08865-1690

Phone

(908) 859-6750

Fax

(908) 859-6849

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Avicenna Physician Services Inc

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1801499850
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1063400323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD.",
            "address_2": "GASTROENTEROLOGY ASSOCIATES, LTD.",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044858",
            "telephone_number": "610-439-8551",
            "fax_number": "610-439-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ROSEBERRY ST",
            "address_2": "WARREN HOSPITAL",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651690",
            "telephone_number": "908-859-6750",
            "fax_number": "908-859-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NJ",
            "license": "25MA04033100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3822001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duane David Brida, ATC
• Bridges Supports Coordination, LLC
• Yasmine Bronson
• Marcellus E Broomes, Ms, LAC, LCADC
• Katelyn Michele Brown-McGee
• Nicole M. Brown
• Tamara Brown, DMD
• Raymond S Buch, M.D.
• Joseph Marc Bucich Jr., MD
• Camilla V Bullman, HHP,CERT.AROMA,CWC

• Anatomic Pathology Physician in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Anatomic Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.