Individual provider Active NPI

Romaine Karen Brown- Medford, R.N.

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1356419170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
433633 Issued in NY
Practice address
408 E 137TH St
Bronx, NY 10454-4004
Phone
(718) 993-3458
Fax
(718) 993-3948
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 433633 NY Primary

Addresses

Primary practice location

408 E 137TH St
Bronx, NY 10454-4004

Mailing address

57 Westervelt Ave
Tenafly, NJ 07670-2014
Phone (718) 993-3458

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
433633NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of New York City Inc PastSince Apr 29, 2011 Accepting new patients
United Cerebral Palsy Past Accepting new patients

Organizations & group practices 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356419170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WESTERVELT AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702014",
            "telephone_number": "718-993-3458",
            "fax_number": "719-993-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 137TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544004",
            "telephone_number": "718-993-3458",
            "fax_number": "718-993-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN- MEDFORD",
        "first_name": "ROMAINE",
        "middle_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "433633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.