Organization Active NPI

Dara Brener, M.D., P.C.

  • Internal Medicine Physician
  • Mount Sinai, NY
National Provider Identifier
1154605152
Registry record updated Oct 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
236587 Issued in NY
Legal business name
DARA BRENER, M.D., P.C.
Practice address
701 Route 25a
Suite B1
Mount Sinai, NY 11766-2050
Phone
(631) 331-4403
Fax
(631) 331-1932
NPI assigned
Oct 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2011

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

Authorized official

Name
Dr. Dara Gail Brener, M.D.
Title
M.D., Ceo
Phone
(631) 680-1142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 236587 NY Primary

Addresses

Primary practice location

701 Route 25a
Suite B1
Mount Sinai, NY 11766-2050

Mailing address

701 Route 25a
Suite B1
Mount Sinai, NY 11766-2050
Phone (631) 331-4403

Other identifiers 1

IdentifierTypeStateIssuer
236587OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

701 Route 25A
Ste B1
Mount Sinai, NY 11766
Phone (631) 331-4403

NPI Registry JSON

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

{
    "created_epoch": "1318118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318118400000",
    "number": "1154605152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ROUTE 25A",
            "address_2": "SUITE B1",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662050",
            "telephone_number": "631-331-4403",
            "fax_number": "631-331-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ROUTE 25A",
            "address_2": "SUITE B1",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662050",
            "telephone_number": "631-331-4403",
            "fax_number": "631-331-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARA BRENER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-09",
        "last_updated": "2011-10-09",
        "status": "A",
        "authorized_official_last_name": "BRENER",
        "authorized_official_first_name": "DARA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "M.D., CEO",
        "authorized_official_telephone_number": "631-680-1142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "236587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.