Stewart A Brazin, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

120299 Issued in NY

Practice address

949 Central Ave
Ste 102
Woodmere, NY 11598-1204

Phone

(516) 825-8910

Fax

(516) 825-8911

NPI assigned

Mar 1, 2006

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: brazin.stewart.001.0320150@nrp.meditab.direct-ci.com

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1174590988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 CENTRAL AVE",
            "address_2": "STE 102",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981204",
            "telephone_number": "516-825-8910",
            "fax_number": "516-825-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 CENTRAL AVE",
            "address_2": "STE 102",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981204",
            "telephone_number": "516-825-8910",
            "fax_number": "516-825-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIN",
        "first_name": "STEWART",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "120299",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "31181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0045165",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00668355",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070002629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Brandspiegel
• Aline Herman Brandt, PSY.D.
• Ellen Joy Braunstein, MD
• Shannon Kaufmann Braunstein, RDN, CDN
• Sheri Brazil
• Julie Brooke Breslauer, LCSW
• Victoria Breslav
• Yael Bresler
• Bright Arch ABA LLC
• Brightbridge ABA Georgia LLC

• Dermatology Physician in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.