Active NPI
Jerome David Brown, LMSW
- Social Worker
- Jamaica, NY
National Provider Identifier
1174758577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 060445-1
- Practice address
- 8929 163Rd St
Apt. 5M
Jamaica, NY 11432-5084 - Phone
- (718) 812-2473
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 060445-1 | NY | Primary |
Addresses
Primary practice location
8929 163Rd St
Apt. 5M
Jamaica, NY 11432-5084
Mailing address
PO Box 527896
Flushing, NY 11352-7896
Phone (718) 812-2473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060445-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1174758577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 527896",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113527896",
"telephone_number": "718-812-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 163RD ST",
"address_2": "APT. 5M",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325084",
"telephone_number": "718-812-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JEROME",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "060445-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.