Brownstone Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

052448 Issued in NY

Legal business name

BROWNSTONE PEDIATRIC DENTISTRY

Practice address

120 Montague St
Brooklyn, NY 11201-3482

Phone

(718) 855-2855

Fax

(866) 221-4121

NPI assigned

Oct 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Martin Cormac Macdermontt

Title

Owner

Phone

(718) 855-2855

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1164974846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MONTAGUE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013482",
            "telephone_number": "718-855-2855",
            "fax_number": "866-221-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MONTAGUE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013482",
            "telephone_number": "718-855-2855",
            "fax_number": "866-221-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSTONE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "MACDERMONTT",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "CORMAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-855-2855",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "052448",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "054412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Brownlee
• Monifa Brownlee
• Lisa Simone Brownley
• Ailene Brownstein, MS, CCC/SLP
• Soroh Brownstein
• Brownstone Therapy
• Brownsville Chiropractic, PC
• Brownsville Community Development Corporation (BMS - School Based Health Center)
• Brownsville Community Development Corporation (BMS @ Genesis)
• Brownsville Community Development Corporation

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.