Individual provider Active NPI

Sophia A Brown, DNP, FNP-BC

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1164838611
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338945 Issued in NY
Practice address
6920 Main St
Flushing, NY 11367-1703
Phone
(718) 793-9020
NPI assigned
Jul 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338945 NY Primary

Addresses

Primary practice location

6920 Main St
Flushing, NY 11367-1703

Mailing address

6920 Main St
Flushing, NY 11367-1703
Phone (718) 793-9020

Other names 1

  • Sophia McIntosh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819008960 NY Practitioner - Nurse Practitioner 7113232166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6920 Main St
Flushing, NY 11367-1703
Phone (718) 793-9020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Nurse Practitioner Healthcare Services PC Family CurrentSince Oct 15, 2019 Accepting new patients
Divinity Medical Services PLLC CurrentSince May 7, 2020 Accepting new patients
Interfaith Emergency Medicine, P.C. CurrentSince Nov 4, 2017 Accepting new patients
Visavis Health Care Medical Group of Ny, PLLC Past Accepting new patients
Adam I Cohen DPT PC Past Accepting new patients

Locations

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

7701 30th Ave
East Elmhurst, NY 11370
Phone (347) 506-1066

6920 Main St
Flushing, NY 11367
Phone (718) 263-8118

6920 Main St
#1
Flushing, NY 11367

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

359 N Central Ave
Hartsdale, NY 10530
Phone (914) 448-2273

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Networks

  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: fnphssophiabrown@146544.advancedmd-direct.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1164838611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671703",
            "telephone_number": "718-793-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671703",
            "telephone_number": "718-793-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SOPHIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-04",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "MCINTOSH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.