Organization Active NPI

Brasner Blumberg & Amaru MD LLP

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1457533093
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
191295 Issued in NY
Legal business name
BRASNER BLUMBERG & AMARU MD LLP
Practice address
1125 Park Ave
New York, NY 10128-1243
Phone
(917) 492-9200
Fax
(917) 492-8129
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Quiana Shantel McCook
Title
Office Manager
Phone
(917) 492-9200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 191295 NY Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 217924 NY
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 216565 NY

Addresses

Primary practice location

1125 Park Ave
New York, NY 10128-1243

Mailing address

1125 Park Ave
New York, NY 10128-1243
Phone (917) 492-9200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1457533093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281243",
            "telephone_number": "917-492-9200",
            "fax_number": "917-492-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281243",
            "telephone_number": "917-492-9200",
            "fax_number": "917-492-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASNER BLUMBERG & AMARU MD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "MCCOOK",
        "authorized_official_first_name": "QUIANA",
        "authorized_official_middle_name": "SHANTEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-492-9200"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "191295",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "217924",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "216565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.