Organization Active NPI

Erin Brunton, LLC

  • Specialist
  • Staten Island, NY
National Provider Identifier
1598234064
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ERIN BRUNTON, LLC
Practice address
23 Clove Way
Staten Island, NY 10301-3634
Phone
(917) 757-9781
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Mrs. Erin Bridget Brunton, MSED
Title
Owner
Phone
(917) 757-9781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

23 Clove Way
Staten Island, NY 10301-3634

Mailing address

23 Clove Way
Staten Island, NY 10301-3634
Phone (917) 757-9781

Other identifiers 1

IdentifierTypeStateIssuer
1689935538OtherNYDOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1598234064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CLOVE WAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013634",
            "telephone_number": "917-757-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CLOVE WAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013634",
            "telephone_number": "917-757-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN BRUNTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "BRUNTON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-757-9781",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "1689935538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.