Active NPI
Ottie Labranche, M.D.
- Pediatrics Physician
- Franklin Square, NY
National Provider Identifier
1114947397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 220657
- Practice address
- 1209 Hempstead Tpke
Franklin Square, NY 11010-1537 - Phone
- (516) 352-8300
- Fax
- (516) 352-8331
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 220657 | NY | Primary |
Addresses
Primary practice location
1209 Hempstead Tpke
Franklin Square, NY 11010-1537
Mailing address
1209 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 352-8300
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070806000104 | Other | FIDELIS CARE NEW YORK | |
| 1313374 | Other | AETNA HMO | |
| 000513130101 | Other | HEALTHPLUS | |
| 11354771 | Other | CAQH | |
| WJW871 | Other | MEDICARE GROUP | |
| 1000021080 | Other | AFFINITY | |
| 82918600 | Other | HEALTH PROVIDER NETWORK | |
| 220657 | Other | NY | LICENSE |
| 220657B71 | Other | HEALTHFIRST | |
| 0136196 | Other | GHI | |
| P3697767 | Other | OXFORD | |
| 1194785824 | Other | NPI GROUP | |
| 00220657 | Medicaid | NY | |
| 2662836 | Other | UNITED HEALTHCARE | |
| 7880841 | Other | AETNA PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220657 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114947397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 HEMPSTEAD TPKE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "11010",
"telephone_number": "516-352-8300",
"fax_number": "516-352-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 HEMPSTEAD TPKE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110101537",
"telephone_number": "516-352-8300",
"fax_number": "516-352-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABRANCHE",
"first_name": "OTTIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "220657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE NEW YORK",
"identifier": "070806000104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1313374",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "000513130101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11354771",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "WJW871",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "1000021080",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PROVIDER NETWORK",
"identifier": "82918600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "220657",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "220657B71",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0136196",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3697767",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1194785824",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00220657",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2662836",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7880841",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.