Active NPI
Jaime Arnau, PA
- Medical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1134328875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 011868
- Practice address
- 447 Atlantic Ave
Brooklyn, NY 11217-1702 - Phone
- (718) 858-6300
- Fax
- (718) 858-0145
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 011868 | NY | Primary |
Addresses
Primary practice location
447 Atlantic Ave
Brooklyn, NY 11217-1702
Mailing address
800 Axinn Ave
Garden City, NY 11530-2139
Phone (646) 680-2888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03992972 | Medicaid | NY | |
| A400026154 | Other | NY | MEDICARE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011868 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Brooklyn Medical Group PC | Past | Accepting new patients | |
| Queens Long Island Medical Group, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
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- New York, NY
- NPI 1891732038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1134328875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 AXINN AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302139",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171702",
"telephone_number": "718-858-6300",
"fax_number": "718-858-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNAU",
"first_name": "JAIME",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "011868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03992972",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A400026154",
"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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.