Individual provider Active NPI

Jason Brown, MD

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
National Provider Identifier
1346756772
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
107577-01 Issued in NY
Practice address
418 E 71St St FL 4
New York, NY 10021-4892
Phone
(212) 535-8932
Fax
(212) 535-5443
NPI assigned
Dec 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Psychiatry & Neurology) Physician 2084P0301X 107557 NY
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084B0040X 107577-01 NY Primary

Addresses

Primary practice location

418 E 71St St FL 4
New York, NY 10021-4892

Mailing address

418 E 71St St FL 4
New York, NY 10021-4892
Phone (212) 535-8932

Other identifiers 1

IdentifierTypeStateIssuer
107577-1WOtherNYWORKERS COMPENSATION/NO FAULT

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

LicenseStateTypeSpecialty
107577-01NYMDBehavioral Neurology & Neuropsychiatry Physician
107557NYMDBrain Injury Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cognition and Communication Single Specialty CurrentSince Jan 17, 2022 Accepting new patients

Locations

418 E 71st St
Fl 4
New York, NY 10021
Phone (212) 535-8932

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.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1346756772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E 71ST ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214892",
            "telephone_number": "212-535-8932",
            "fax_number": "212-535-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E 71ST ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214892",
            "telephone_number": "212-535-8932",
            "fax_number": "212-535-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0301X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": "NY",
            "license": "107557",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "107577-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION/NO FAULT",
            "identifier": "107577-1W",
            "state": "NY"
        }
    ],
    "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 Jan 10, 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.