Active NPI
Anderson Brown
- Licensed Practical Nurse
- Farmingville, NY
National Provider Identifier
1134599855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 32236
- Practice address
- 92 Overlook Dr
Farmingville, NY 11738-3106 - Phone
- (631) 220-4822
- NPI assigned
- Oct 7, 2015
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 32236 | NY | Primary |
Addresses
Primary practice location
92 Overlook Dr
Farmingville, NY 11738-3106
Mailing address
92 Overlook Dr
Farmingville, NY 11738-3106
Phone (631) 220-4822
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32236 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1134599855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 OVERLOOK DR",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117383106",
"telephone_number": "631-220-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 OVERLOOK DR",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117383106",
"telephone_number": "631-220-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANDERSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-07",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "32236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmingville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.