Active NPI
Brian Locsin, DNP
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 308155
- Practice address
- 600 3Rd Ave FL 2
New York, NY 10016-1919 - Phone
- (617) 505-1520
- Fax
- (617) 928-8401
- NPI assigned
- Jan 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 308155 | NY | Primary |
| Registered Nurse | 163W00000X | 95283940 | CA | |
| Registered Nurse | 163W00000X | 041523720 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 209025964 | IL | |
| Registered Nurse | 163W00000X | 1057202 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | 95022446 | CA | |
| Registered Nurse | 163W00000X | 634664 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 1057202 | TX |
Addresses
Primary practice location
600 3Rd Ave FL 2
New York, NY 10016-1919
Mailing address
109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95283940 | CA | MD | Registered Nurse |
| 041523720 | IL | MD | Registered Nurse |
| 634664 | NY | MD | Registered Nurse |
| 95022446 | CA | MD | Adult Health Nurse Practitioner |
| 209025964 | IL | MD | Adult Health Nurse Practitioner |
| 308155 | NY | MD | Adult Health Nurse Practitioner |
| 1057202 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Form Health Associates Ma, P.C. | Past | Accepting new patients | |
| Eden Health Medical PC | Past | Accepting new patients | |
| Eden Health Medical of Il LTD | Past | Accepting new patients |
Locations
3503 31st Ave
Astoria, NY 11106
Phone (212) 263-5969
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Interoperability endpoints
- brian.locsin@168064768409604.direct.elationemr.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Internal Medicine Physician
- New York, NY
- NPI 1811436157
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1083297469
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1386260594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1639615636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 STATE ST STE 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092906",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 3RD AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161919",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCSIN",
"first_name": "BRIAN",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-13",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "308155",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95283940",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041523720",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209025964",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1057202",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95022446",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "634664",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "1057202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.