Active NPI
Emaus Brendan Santiago, PHYSICIAN ASSISTANT
- Orthopaedic Surgery Physician
- Forest Hills, NY
National Provider Identifier
1437210887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 009826
- Practice address
- 76-55 Austin Street
Forest Hills, NY 11375 - Phone
- (718) 897-2228
- Fax
- (718) 897-2251
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103810 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 009826 | NY | Primary |
Addresses
Primary practice location
76-55 Austin Street
Forest Hills, NY 11375
Mailing address
76-55 Austin Street
Forest Hills, NY 11375
Phone (718) 897-2228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9103810 | Other | FL | STATE LICENSE |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| MM Medical Service PC | Past | Accepting new patients | |
| Mercy Hospital Inc | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- emaus.santiago@direct.christhospital.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
- Specialist
- Forest Hills, NY
- NPI 1104281286
-
- Physician Assistant
- Miami, FL
- NPI 1639236839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1437210887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76-55 AUSTIN STREET",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-897-2228",
"fax_number": "718-897-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76-55 AUSTIN STREET",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-897-2228",
"fax_number": "718-897-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "EMAUS",
"middle_name": "BRENDAN",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103810",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "009826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA9103810",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.