Sean D Brown, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

514117 Issued in NY

Practice address

11 Wilson Ave
East Moriches, NY 11940

Phone

(631) 786-7805

NPI assigned

Jul 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1700293305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WILSON AVE",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "11940",
            "telephone_number": "631-786-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WILSON AVE",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "11940",
            "telephone_number": "631-786-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SEAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "514117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Blake, PH.D.
• Samantha Bonello
• Erica Bove, PHARMD
• Mary Brickers
• Steffany K Brower, RN
• Jeanette Burling, LPN
• James B. Campbell, D.D.S.
• Joann Capuano, NURSE PRACTITIONER
• Toni A Carrozza
• Conor Vincent Cassara, PHARMD

• All providers in East Moriches, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.