Individual provider Active NPI

Marta A. Brana-Berrios, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1184872806
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2504701 Issued in NY
Practice address
577 1St Ave
New York, NY 10016-6404
Phone
(646) 248-0882
Fax
(212) 263-4340
NPI assigned
Sep 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2504701 NY Primary

Addresses

Primary practice location

577 1St Ave
New York, NY 10016-6404

Mailing address

577 1RST Ave
New York, NY 10016

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000105 NY Practitioner - Psychiatry 4880872225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2504701NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Psychiatry Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince May 29, 2020 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince May 29, 2020 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Brooklyn Center for Families in Crisis Past Accepting new patients
Trustees of Columbia University in Department of Psychiatry Psychiatry PastSince Feb 1, 2003 Accepting new patients

Locations

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

635 W 165th St
Ste 636
New York, NY 10032
Phone (212) 342-1600

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: marta.brana@damian.eclinicaldirectplus.com
  • Direct secure messaging: mab9316@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1184872806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 1RST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166404",
            "telephone_number": "646-248-0882",
            "fax_number": "212-263-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANA-BERRIOS",
        "first_name": "MARTA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "2504701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.