Organization Active NPI

Bra Smyth

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1306020680
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRA SMYTH
Practice address
2177 Broadway
New York, NY 10024-6603
Phone
(212) 721-5111
NPI assigned
Dec 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Sandra A Simon
Title
Part Owner
Phone
(212) 721-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary

Addresses

Primary practice location

2177 Broadway
New York, NY 10024-6603

Mailing address

2177 Broadway
New York, NY 10024-6603
Phone (212) 721-5111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306020680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246603",
            "telephone_number": "212-721-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246603",
            "telephone_number": "212-721-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRA SMYTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "212-721-5111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "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 Jul 21, 2022; 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.