Active NPI
Elaine Snowball Brown-Cameron, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1083647929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NYS-227879
- 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, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2634595 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NYS-227879 | NY | MD | Internal Medicine Physician |
| 25MA07856200 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Ph.D. Medical Genetics
- Saint Albans, NY
- NPI 1831243807
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
-
- Federally Qualified Health Center (FQHC)
- Carteret, NJ
- NPI 1932974250
-
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1710199468
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.