Individual provider Active NPI

Robert Justin Brown Jr., P.A.

  • Physician Assistant
  • Syosset, NY
National Provider Identifier
1699008458
Registry record updated Sep 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008439 Issued in NY
Practice address
8 Greenfield Rd
Syosset, NY 11791-4831
Phone
(516) 671-0004
Fax
(516) 671-0004
NPI assigned
Sep 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008439 NY Primary

Addresses

Primary practice location

8 Greenfield Rd
Syosset, NY 11791-4831

Mailing address

24 Hamilton SQ
Glen Head, NY 11545-1519
Phone (516) 671-0004

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008439NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Brown Jr Rpa PC CurrentSince Sep 15, 2019 Accepting new patients

Locations

1165 Northern Blvd
Manhasset, NY 11030
Phone (516) 627-0303

1165 Northern Blvd
Ste 400
Manhasset, NY 11030
Phone (516) 499-3964

Interoperability endpoints

  • Direct secure messaging: robert.brown@1025660400762884.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252800000000",
    "number": "1699008458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMILTON SQ",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451519",
            "telephone_number": "516-671-0004",
            "fax_number": "516-671-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GREENFIELD RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914831",
            "telephone_number": "516-671-0004",
            "fax_number": "516-671-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2009; 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.