Individual provider Active NPI

Elana Ava Brown, DC

  • Chiropractor
  • Bklyn, NY
National Provider Identifier
1457573719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0053051 Issued in NY
Practice address
99 Ocean Pkwy
Bklyn, NY 11218
Phone
(718) 853-1818
Fax
(718) 853-1700
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

99 Ocean Pkwy
Brooklyn, NY 11218-1751
Phone (718) 853-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000014 NY Practitioner - Chiropractic 7618146168 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005305NYMDMental Health Counselor
X0053051NYMDChiropractor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0053051 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

99 Ocean Pkwy
Bklyn, NY 11218

Mailing address

135 Ocean Parkway
#11N
Bklyn, NY 11218
Phone (718) 854-7689

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457573719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OCEAN PARKWAY",
            "address_2": "#11N",
            "city": "BKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "718-854-7689",
            "fax_number": "718-853-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OCEAN PKWY",
            "city": "BKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "718-853-1818",
            "fax_number": "718-853-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELANA",
        "middle_name": "AVA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0053051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.