Active NPI
Brienne Jamie Erb
- Specialist
- Lake Ronkonkoma, NY
National Provider Identifier
1427307800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1858888
- Practice address
- 23 Harvey Lane
Lake Ronkonkoma, NY 11779 - Phone
- (631) 742-2681
- NPI assigned
- Aug 31, 2012
- Last updated
- Aug 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1858888 | NY | Primary |
Addresses
Primary practice location
23 Harvey Lane
Lake Ronkonkoma, NY 11779
Mailing address
23 Harvey Lane
Lake Ronkonkoma, NY 11779
Phone (631) 742-2681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174400000X | Other | NY | TEACHER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1858888 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1427307800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HARVEY LANE",
"city": "LAKE RONKONKOMA",
"state": "NY",
"postal_code": "11779",
"telephone_number": "631-742-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 HARVEY LANE",
"city": "LAKE RONKONKOMA",
"state": "NY",
"postal_code": "11779",
"telephone_number": "631-742-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERB",
"first_name": "BRIENNE",
"middle_name": "JAMIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1858888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER",
"identifier": "174400000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.