Active NPI
Paula Brown, MD
- Internal Medicine Physician
- Staten Island, NY
National Provider Identifier
1700060803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 239137
- Practice address
- 11 Ralph PL Ste 211
Staten Island, NY 10304-4419 - Phone
- (516) 960-1970
- Fax
- (516) 960-1970
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 239137 | NY | Primary |
Addresses
Primary practice location
11 Ralph PL Ste 211
Staten Island, NY 10304-4419
Mailing address
30 Borman Ave
Staten Island, NY 10314-4957
Phone (516) 960-1970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239137 | Other | NY | LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239137 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wecare Medical Services, PC | Internal Medicine | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- New York, NY
- NPI 1639031123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1700060803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BORMAN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144957",
"telephone_number": "516-960-1970",
"fax_number": "516-960-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RALPH PL STE 211",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044419",
"telephone_number": "516-960-1970",
"fax_number": "516-960-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PAULA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "239137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "239137",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.