Individual provider Active NPI

Tyrone A Brown, MD

  • Pediatrics Physician
  • Cambria Heights, NY
National Provider Identifier
1437112745
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
220085 Issued in NY
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02156229MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000868 NY Practitioner - Pediatric Medicine 8325228182 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220085NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Pediatrics CurrentSince Oct 24, 2010 Accepting new patients
Jamaica Hospital CurrentSince Aug 30, 2011 Accepting new patients
Jamaica Hospital CurrentSince Aug 30, 2011 Accepting new patients
TJH Medical Services, PC Past Accepting new patients
Camkids Pediatrics PC Pediatrics PastSince Mar 29, 2020 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIFFAA/Endpoint/BIFFAA
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.