Organization Active NPI

Deborah S Hunterbrown MD PLLC

  • Family Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1629112669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
195354 Issued in NY
Legal business name
DEBORAH S HUNTERBROWN MD PLLC
Practice address
105 Stevens Ave
408
Mount Vernon, NY 10550-2686
Phone
(914) 663-1368
Fax
(914) 663-1403
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Deborah Sophia Hunter-Brown, M.D
Title
Manager
Phone
(914) 663-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 195354 NY Primary

Addresses

Primary practice location

105 Stevens Ave
408
Mount Vernon, NY 10550-2686

Mailing address

105 Stevens Ave
408
Mount Vernon, NY 10550-2686
Phone (914) 663-1368

National Provider Directory

National Provider Directory

Locations

105 Stevens Ave
Ste 408
Mount Vernon, NY 10550
Phone (718) 704-0907

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629112669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "408",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-663-1368",
            "fax_number": "914-663-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "408",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-663-1368",
            "fax_number": "914-663-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH S HUNTERBROWN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER-BROWN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "SOPHIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-663-1368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "195354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.