Jeffrey Lee Brown, M.D.
Individual provider Active NPI Pediatrics Physician · Rye Brook, NY
NPI 1497830723 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497830723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 100444 (NY)
- Practice address
- 12 Rye Ridge PLZ
Rye Brook, NY 10573-2820 - Phone
- (914) 251-1100
- Fax
- (914) 251-1109
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014889 | CT | MD | Pediatrics Physician |
| 100444 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates, P.C. | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 100444 | NY | Yes |
| Pediatrics Physician | 208000000X | 014889 | CT |
Addresses
Primary practice location
12 Rye Ridge PLZ
Rye Brook, NY 10573-2820
Mailing address
12 Rye Ridge PLZ
Rye Brook, NY 10573-2820
Phone (914) 251-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WP821 | Other | OXFORD PROVIDER ID |
Other providers in Rye Brook, NY
- Annakay Bonte
- Olivia Rae Brettschneider
- Alison Brill
- Andrew Bronin
- Jill Brookman
- Lauren Christine Buchanan
- James Edward Ruguian Burlat
- Steve Caccire
- Gail Amelia Calamari
- Elizabeth Ann Calvini-Arnoff
All providers in Rye Brook, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.