Active NPI
Tyrone A Brown, MD
- Pediatrics Physician
- Cambria Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 220085
- Practice address
- 117-06 225 Street
Camkids Pediatrics PC
Cambria Heights, NY 11411-1706 - Phone
- (718) 712-8511
- Fax
- (718) 527-5624
- NPI assigned
- Apr 8, 2006
- Last updated
- Mar 27, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 220085 | NY | Primary |
Addresses
Primary practice location
117-06 225 Street
Camkids Pediatrics PC
Cambria Heights, NY 11411-1706
Mailing address
117-06 225 Street
Camkids Pediatrics PC
Cambria Heights, NY 11411-1706
Phone (718) 712-8511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02156229 | Medicaid | NY |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220085 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJH Medical Services, P.C. | Pediatrics | Current | Accepting new patients |
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| TJH Medical Services, PC | Past | Accepting new patients | |
| Camkids Pediatrics PC | Pediatrics | Past | Accepting new patients |
| JHMC Diagnostic and Treatment Center | Pediatrics | Past | Accepting new patients |
Locations
11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510
18803 Jamaica Ave
Jamaica, NY 11423
Phone (718) 740-2060
11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIFFAA/Endpoint/BIFFAA
- tbrown4187@direct.medisys.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jamaica Hospital Emergency Department - Radiology
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
dba Marie-Paule Dupiton MD
- Pediatrics Physician
- Cambria Heights, NY
- NPI 1710057872
-
- Family Medicine Physician
- Jamaica, NY
- NPI 1821045485
Pediatrics
-
dba Jamaica Hospital Ambulatory Care Center
- Multi-Specialty Clinic/Center
- Jamaica, NY
- NPI 1588605802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1437112745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117-06 225 STREET",
"address_2": "CAMKIDS PEDIATRICS PC",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111706",
"telephone_number": "718-712-8511",
"fax_number": "718-527-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117-06 225 STREET",
"address_2": "CAMKIDS PEDIATRICS PC",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111706",
"telephone_number": "718-712-8511",
"fax_number": "718-527-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TYRONE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "220085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02156229",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.