Mary R Brown, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP00503500 Issued in NJ

Practice address

212 Madison Ave E
Magnolia, NJ 08049-1409

Phone

(856) 541-1700

Fax

(856) 309-9716

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184846503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MADISON AVE E",
            "city": "MAGNOLIA",
            "state": "NJ",
            "postal_code": "080491409",
            "telephone_number": "856-541-1700",
            "fax_number": "856-309-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MADISON AVE E",
            "city": "MAGNOLIA",
            "state": "NJ",
            "postal_code": "080491409",
            "telephone_number": "856-541-1700",
            "fax_number": "856-309-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN058729L",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP00503500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ NURSING LICENSE",
            "identifier": "26NP00503500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA NURSING LICENSE",
            "identifier": "PN058729L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hana Bae, MA
• Arnaud Bastien, MD
• Biokinesis Health and Performance
• Brilliant Smiles Dental Group - Magnolia LLC
• Bettyna Brown, MA, ED.S, LPC
• Jacqueline F Byrd, APN
• Sana Chawla
• Courtney Lynne Cifuni, MS
• Todd Ian Cohen, DMD
• Cooper Physician Offices

• Licensed Practical Nurse in Magnolia, NJ
• Providers in Magnolia, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.