Active NPI
Madjeanna Brutus, PA-C
- Medical Physician Assistant
- Monticello, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 030958
- Practice address
- 38 Concord Rd
Monticello, NY 12701-3210 - Phone
- (845) 333-6500
- Fax
- (845) 333-6501
- NPI assigned
- Sep 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 030958 | NY | Primary |
Addresses
Primary practice location
38 Concord Rd
Monticello, NY 12701-3210
Mailing address
38 Concord Rd
Monticello, NY 12701-3210
Phone (845) 333-6500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbrutus73916@direct.garnethealth.org | Direct | Garnet Health Doctors PC |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240518000362 | NY | Practitioner - Physician Assistant | 2961843115 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030958 | NY | MD | Occupational Therapist |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley, P.C. | Current | Accepting new patients | |
| Premier Medical Group of the Hudson Valley P.C. | Current | Accepting new patients |
Locations
955 Little Britain Rd
Newburgh, NY 12553
Phone (845) 437-5000
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- mbrutus@premiermedicalhv.medentdirect.com
- mbrutus73916@direct.garnethealth.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.
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
NY
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
-
- Podiatrist
- Poughkeepsie, NY
- NPI 1760939581
-
- Podiatrist
- Fishkill, NY
- NPI 1255888079
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Garnet Health Doctors PCPremier Medical Group of the Hudson Valley PC
Practice addresses (Care Compare)
38 Concord Rd
Monticello, NY 12701-3210
Phone (845) 333-6500
68 Harris Bushville Rd
Harris, NY 12742
Phone (845) 333-8909
955 Little Britain Rd
New Windsor, NY 12553-7354
Phone (845) 437-5000
Hospital & facility affiliations
- Garnet Health Medical Center Catskills
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1356129191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 CONCORD RD",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127013210",
"telephone_number": "845-333-6500",
"fax_number": "845-333-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 CONCORD RD",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127013210",
"telephone_number": "845-333-6500",
"fax_number": "845-333-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUTUS",
"first_name": "MADJEANNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "030958",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbrutus73916@direct.garnethealth.org",
"affiliation": "Y",
"affiliationName": "Garnet Health Doctors PC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "38 Concord Rd",
"city": "Monticello",
"state": "NY",
"country_code": "US",
"postal_code": "127013210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.