Mary Anne Brazinski, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD01616 Issued in NJ

Practice address

3453 Valley Rd
Basking Ridge, NJ 07920-2655

Phone

(908) 604-2277

Fax

(908) 604-6219

NPI assigned

May 27, 2005

Last updated

Jan 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary Anne Brazinski DPM PA

  • Durable Medical Equipment & Medical Supplies
  • Basking Ridge, NJ
  • NPI 1790969202
  Authorized official Same address or phone
• NJ Memory and Behavioral Care

  • Geriatric Psychiatry Physician
  • Cedar Knolls, NJ
  • NPI 1538499181
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1306849906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 VALLEY RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202655",
            "telephone_number": "908-647-8429",
            "fax_number": "908-604-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 VALLEY RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202655",
            "telephone_number": "908-604-2277",
            "fax_number": "908-604-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZINSKI",
        "first_name": "MARY ANNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821202",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480007595",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "T5115",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGMA",
            "identifier": "1502167001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "392906",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "4792120001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Borja, PT, DPT
• Karen Esther Borofsky, MD
• Beth Boseski, APN
• Allison L.H. Boyd, M.S.
• Alayne Brady Jacobs
• Breakthrough Learning Group, LLC
• Rachel Hilary Breitman, FNP-BC
• Michele Lee Brennan, PSYD
• Victoria Brik, APN
• Mary Brinkworth

• Podiatrist in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.