Ira Mark Brooks, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04499300 Issued in NJ

Practice address

523 Broadway
Bayonne, NJ 07002-3735

Phone

(201) 649-1190

Fax

(201) 730-0433

NPI assigned

Jul 25, 2006

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jake Gurland, M.DGroup PAC ID 9739578824, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ira.brooks@direct.bayonnemedicalcenter.md

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.

• Jake Gurland, M.D.

  • Internal Medicine Physician
  • Bayonne, NJ
  • NPI 1487227179
  Medicare reassignment Care Compare group NPD
• Ijkg Opco LLC

  dba Bayonne University Hospital

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• Urology Specialty Care PA

  • Radiation Oncology Physician
  • Hackensack, NJ
  • NPI 1326330366
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1437172111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023735",
            "telephone_number": "201-649-1190",
            "fax_number": "201-730-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023735",
            "telephone_number": "201-649-1190",
            "fax_number": "201-730-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070022810",
            "country_code": "US",
            "telephone_number": "201-437-4073",
            "fax_number": "201-437-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "IRA",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04499300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway Oral Surgery, LLC
• Broadway Physical Therapy, LLC
• Broadway RX Inc (Broadway Health Pharmacy)
• Broadway RX Inc (Broadway Health Pharmacy)
• Herman Brockman
• Edward P Brown, DC
• Mackenzie Paige Brown
• Mitchell Lee Brown, M.D.
• Tawaun N Brown
• Dennis James Bublitz, RBT

• Internal Medicine Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.