Individual provider Active NPI

Elisheva Goldbrenner, MS

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1194101477
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
675981121 Issued in NY
Practice address
1225 Ocean Pkwy
Apt 3M
Brooklyn, NY 11230-5154
Phone
(347) 702-6137
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 675981121 NY Primary

Addresses

Primary practice location

1225 Ocean Pkwy
Apt 3M
Brooklyn, NY 11230-5154

Mailing address

1225 Ocean Pkwy
Apt 3M
Brooklyn, NY 11230-5154
Phone (347) 702-6137

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
675981121NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1194101477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 OCEAN PKWY",
            "address_2": "APT 3M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305154",
            "telephone_number": "347-702-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 OCEAN PKWY",
            "address_2": "APT 3M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305154",
            "telephone_number": "347-702-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBRENNER",
        "first_name": "ELISHEVA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "675981121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.