Individual provider Active NPI

Elaine Snowball Brown-Cameron, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1083647929
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NYS-227879 Issued in NY
Practice address
941 Ocean Avenue
Brooklyn, NY 11226
Phone
(718) 668-5120
Fax
(908) 226-9163
NPI assigned
Jul 7, 2006
Last updated
Nov 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07856200 NJ
Internal Medicine Physician 207R00000X NYS-227879 NY Primary
Pediatrics Physician 208000000X 25MA07856200 NJ
Pediatrics Physician 208000000X NYS-227879 NY

Addresses

Primary practice location

941 Ocean Avenue
Brooklyn, NY 11226

Mailing address

941 Ocean Avenue
Brooklyn, NY 11226
Phone (718) 668-5120

Other identifiers 1

IdentifierTypeStateIssuer
2634595MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NYS-227879NYMDInternal Medicine Physician
25MA07856200NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center Past Accepting new patients
Central Jersey Medical Center, Inc. Past Accepting new patients
Astramed Physician PC Past Accepting new patients
Central Jersey Medical Center, Inc Past Accepting new patients

Organizations & group practices 4

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1083647929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 OCEAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "718-668-5120",
            "fax_number": "908-226-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 OCEAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "718-668-5120",
            "fax_number": "908-226-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-CAMERON",
        "first_name": "ELAINE",
        "middle_name": "SNOWBALL",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07856200",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NYS-227879",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07856200",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "NYS-227879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2634595",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.