Active NPI
Robert J Brown Jr Rpa PC
- Medical Physician Assistant
- Manhasset, NY
National Provider Identifier
1396395380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- ROBERT J BROWN JR RPA PC
- Practice address
- 1165 Northern Blvd Ste 400
Manhasset, NY 11030-3048 - Phone
- (516) 352-8880
- NPI assigned
- Sep 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Justin Brown Jr., PA
- Title
- Authorized Official/ Owner
- Phone
- (631) 742-0565
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
1165 Northern Blvd Ste 400
Manhasset, NY 11030-3048
Mailing address
24 Hamilton SQ
Glen Head, NY 11545-1519
Phone (516) 352-8880
Other names 1
- Robert J Brown JR RPA PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1165 Northern Blvd
Ste 400
Manhasset, NY 11030
Phone (516) 499-3964
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1518084664
-
- Physician Assistant
- Syosset, NY
- NPI 1699008458
-
- Physician Assistant
- Oceanside, NY
- NPI 1548663867
-
- Cardiovascular Disease Physician
- Cold Spring Harbor, NY
- NPI 1568441921
-
- Cardiovascular Disease Physician
- Manhasset, NY
- NPI 1265535736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1396395380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HAMILTON SQ",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451519",
"telephone_number": "516-352-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 NORTHERN BLVD STE 400",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303048",
"telephone_number": "516-352-8880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J BROWN JR RPA PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-12",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JUSTIN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/ OWNER",
"authorized_official_telephone_number": "631-742-0565",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Robert J Brown JR RPA PC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Robert J Brown JR RPA PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.