Active NPI
Home Life Primary Care & Social Services
Doing business as Matthew Brackman MD
- Surgery Physician
- New York, NY
National Provider Identifier
1306656111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- HOME LIFE PRIMARY CARE & SOCIAL SERVICES
- Doing business as
- Matthew Brackman MD
- Practice address
- 80 Park Ave Apt 12P
New York, NY 10016-0282 - Phone
- (941) 806-9381
- NPI assigned
- Jan 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Brackman, MD
- Title
- Owner
- Phone
- (941) 806-9381
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
80 Park Ave Apt 12P
New York, NY 10016-0282
Mailing address
80 Park Ave Apt 12P
New York, NY 10016-0282
Other names 1
- Matthew Brackman MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1736726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1306656111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 PARK AVE APT 12P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 PARK AVE APT 12P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160282",
"telephone_number": "941-806-9381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME LIFE PRIMARY CARE & SOCIAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "BRACKMAN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-806-9381",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Matthew Brackman MD",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.