NPIMap

Organization Active NPI

Bruen Medical Partners LLC

  • Clinical Medical Laboratory
  • Ellenville, NY
National Provider Identifier
1205288966
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
132413 Issued in NY
Legal business name
BRUEN MEDICAL PARTNERS LLC
Practice address
2 Elting CT
3Rd Floor
Ellenville, NY 12428
Phone
(845) 853-0676
Fax
(845) 232-2207
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Elizabeth Bruen, NPNPI 1043670284
Title
Director of Allied Health and Train
Phone
(845) 853-0676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 132413 NY Primary

Addresses

Primary practice location

2 Elting CT
3Rd Floor
Ellenville, NY 12428

Mailing address

2 Elting CT
3Rd Floor
Ellenville, NY 12428
Phone (845) 853-0676

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1205288966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELTING CT",
            "address_2": "3RD FLOOR",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "12428",
            "telephone_number": "845-853-0676",
            "fax_number": "845-232-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELTING CT",
            "address_2": "3RD FLOOR",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "12428",
            "telephone_number": "845-853-0676",
            "fax_number": "845-232-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUEN MEDICAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "BRUEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF ALLIED HEALTH AND TRAIN",
        "authorized_official_telephone_number": "845-853-0676",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "132413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.