Rebecca Brown, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

626564 Issued in NY

Practice address

27 Joline Rd
Port Jefferson Station, NY 11776-3305

Phone

(518) 312-8128

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1154602456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 JOLINE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763305",
            "telephone_number": "518-312-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 JOLINE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763305",
            "telephone_number": "518-312-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REBECCA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "626564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Brazeau, LCSW-R
• Donna Marie Brennan, PH.D.
• Dana L Brenner, MD
• Brookhaven Comsewogue Ufsd
• Bruce R Brown, DDS
• Theresa Brunetto
• James Buchrieser
• Brenna Katherine Buckstein, MSPAS, PA-C
• Rose M Bukovsky, ANP
• Jessica Buonomo, LMT

• Pediatric Registered Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.