Active NPI
Ellen Brady, M.S.
- Specialist
- Wantagh, NY
National Provider Identifier
1699813428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 725 Wantagh Ave
Wantagh, NY 11793-2101 - Phone
- (516) 495-4001
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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
- Master of Science
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
725 Wantagh Ave
Wantagh, NY 11793-2101
Mailing address
725 Wantagh Ave
Wantagh, NY 11793-2101
Phone (516) 495-4001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2012.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1699813428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WANTAGH AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932101",
"telephone_number": "516-495-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WANTAGH AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932101",
"telephone_number": "516-495-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "ELLEN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.