Active NPI
Elise M Brett MD PC
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
National Provider Identifier
1609313667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 10128
- Legal business name
- ELISE M BRETT MD PC
- Practice address
- 1192 Park Ave
New York, NY 10128-1314 - Phone
- (212) 831-1371
- NPI assigned
- Jan 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexa Besgen
- Title
- Credentialing Manager
- Phone
- (914) 437-5850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 10128 | NY | Primary |
Addresses
Primary practice location
1192 Park Ave
New York, NY 10128-1314
Mailing address
1192 Park Ave
New York, NY 10128-1314
Phone (212) 831-1371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10036569
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
- NPI 1407963424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485475200000",
"number": "1609313667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1192 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281314",
"telephone_number": "212-831-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1192 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281314",
"telephone_number": "212-831-1371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELISE M BRETT MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-27",
"last_updated": "2017-01-27",
"status": "A",
"authorized_official_last_name": "BESGEN",
"authorized_official_first_name": "ALEXA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "914-437-5850"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "10128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.