Active NPI
David Jonathan Brown
- Driver
- Albany, NY
National Provider Identifier
1659853513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 456 North Pearl St.
Albany, NY 12204 - Phone
- (518) 462-5923
- Fax
- (518) 489-2352
- NPI assigned
- Sep 6, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | NY | Primary |
Addresses
Primary practice location
456 North Pearl St.
Albany, NY 12204
Mailing address
456 North Pearl St.
Albany, NY 12204
Phone (518) 462-5923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04224448 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safecare Mobility Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Menands, NY
- NPI 1811445471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1659853513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 NORTH PEARL ST.",
"city": "ALBANY",
"state": "NY",
"postal_code": "12204",
"telephone_number": "518-462-5923",
"fax_number": "518-489-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 NORTH PEARL ST.",
"city": "ALBANY",
"state": "NY",
"postal_code": "12204",
"telephone_number": "518-462-5923",
"fax_number": "518-489-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DAVID",
"middle_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04224448",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.