Active NPI
Donnie Beaubrun, M.D
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 263106
- Practice address
- 279 E 3Rd St
New York, NY 10009-7813 - Phone
- (718) 836-6600
- NPI assigned
- Jun 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 263106 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 927533 | NY |
Addresses
Primary practice location
279 E 3Rd St
New York, NY 10009-7813
Mailing address
340 4TH Ave FL 33
Brooklyn, NY 11215-2718
Phone (718) 643-0483
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | qlf9002@DIRECT.NYP.ORG | Direct | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
340 4TH Ave
Brooklyn, NY 11215-2718
Phone (718) 643-0483
Hospital & facility affiliations
- New York-Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 927533 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
340 4th Ave
Brooklyn, NY 11215
Phone (347) 694-5035
506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677
340 4th Ave
Fl 33
Brooklyn, NY 11215
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- qlf9002@direct.nyp.org
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1255719563
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1780111484
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1326698879
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1346401320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 4TH AVE FL 33",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152718",
"telephone_number": "718-643-0483",
"fax_number": "718-855-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 E 3RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100097813",
"telephone_number": "718-836-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUBRUN",
"first_name": "DONNIE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-22",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "263106",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "927533",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "340 4th Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112152718",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "qlf9002@DIRECT.NYP.ORG",
"affiliation": "N",
"endpointDescription": "DIRECT ADDRESS",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "DIRECT ADDRESS",
"address_1": "340 4th Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112152718",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "340 4th Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112152718",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.