Active NPI
Roy Edward Brown
- Pediatrics Physician
- New York, NY
National Provider Identifier
1275507014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 798091
- Practice address
- Columbia University Department Pediatrics
3959 Broadway
New York, NY 10032 - Phone
- (212) 304-7297
- Fax
- (212) 544-1974
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 798091 | NY | Primary |
Addresses
Primary practice location
Columbia University Department Pediatrics
3959 Broadway
New York, NY 10032
Mailing address
288 E Mountain Rd
Coldspring, NC 10516
Phone (212) 304-7250
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 798091 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New York, NY
- NPI 1760444822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1275507014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 E MOUNTAIN RD",
"city": "COLDSPRING",
"state": "NC",
"postal_code": "10516",
"telephone_number": "212-304-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS",
"address_2": "3959 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-304-7297",
"fax_number": "212-544-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ROY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "798091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.