Individual provider Active NPI

Yvonne Elizabeth Brown, RN, BSN, MSN, ANP

  • Women's Health Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1477018273
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00877000 Issued in NJ
Practice address
59 Main St Ste 207
West Orange, NJ 07052-5333
Phone
(862) 766-5363
Fax
(866) 297-6005
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ00877000 NJ Primary

Addresses

Primary practice location

59 Main St Ste 207
West Orange, NJ 07052-5333

Mailing address

59 Martin St
Bloomfield, NJ 07003-3913
Phone (801) 560-6379

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605000164 NJ Practitioner - Nurse Practitioner 4789038571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint James Health, IncGroup PAC ID 7214237916, 14 clinicians

Practice addresses (Care Compare)

228 Lafayette St
FL 2
Newark, NJ 07105-1815
Phone (973) 789-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00877000NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Health, Inc CurrentSince Mar 17, 2024 Accepting new patients
Saint James Health Inc CurrentSince Mar 17, 2024 Accepting new patients
Total Sono, LLC Past Accepting new patients
Rae Medical LLC PastSince Jan 1, 2005 Accepting new patients

Locations

228 Lafayette St
Fl 4
Newark, NJ 07105
Phone (973) 789-8111

228 Lafayette St
Fl 2
Newark, NJ 07105
Phone (973) 344-0078

228 Lafayette St
Ste 2
Newark, NJ 07105

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEFCDA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1477018273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MARTIN ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033913",
            "telephone_number": "801-560-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MAIN ST STE 207",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525333",
            "telephone_number": "862-766-5363",
            "fax_number": "866-297-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "YVONNE",
        "middle_name": "ELIZABETH",
        "credential": "RN, BSN, MSN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00877000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.