Individual provider Active NPI

Leena A Brown, PT, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1629476486
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017821 Issued in NY
Practice address
446 W 38TH St
New York, NY 10018-0238
Phone
(646) 706-7747
Fax
(646) 706-7732
NPI assigned
Dec 10, 2014
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 042351 NY
Physician Assistant 363A00000X 017821 NY Primary

Addresses

Primary practice location

446 W 38TH St
New York, NY 10018-0238

Mailing address

75 W End Ave Apt R3C
New York, NY 10023-7882
Phone (801) 831-8092

Other practice location 1

300 E 56th St
New York, NY 10022
Phone (212) 935-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160913000854 NY Practitioner - Physician Assistant 2163718420 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Specialists of the Capital Region, PLLCGroup PAC ID 5597741371, 12 clinicians

Practice addresses (Care Compare)

2 Executive Park Dr
Albany, NY 12203-3700
Phone (518) 452-1928

264 Washington Ave Ext
Suite 201
Albany, NY 12203-6352
Phone (518) 452-1928

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as group
Quality
97.72
Improvement activities
40
Cost
76.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017821NYMDPsychologist
042351NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Physicians, PC CurrentSince Jun 21, 2016 Accepting new patients
SBH Physicians, PC Physician Assistant CurrentSince Jun 21, 2016 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1629476486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W END AVE APT R3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237882",
            "telephone_number": "801-831-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 W 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100180238",
            "telephone_number": "646-706-7747",
            "fax_number": "646-706-7732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E 56th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10022",
            "country_code": "US",
            "telephone_number": "212-935-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LEENA",
        "middle_name": "A",
        "credential": "PT, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042351",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.